Organization
DYNAMIC PHYSICAL THERAPY INC
Active
Other names
Fyzical Therapy and Balance Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LINCOLN NATHANIEL KINKADE PT (OWNER/PT)
(304) 225-5222
Entity
Organization
Contact information
Practice address
3411 UNIVERSITY AVE STE 1, MORGANTOWN, WV 26505-7240
(304) 225-5222
(304) 225-5224
Mailing address
746 FAIRMONT RD, WESTOVER, WV 26501-4060
(304) 225-5222
(304) 225-5224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09043124
BCBS
—
05
—
3810002407
—
WV
Enumeration date
08/30/2005
Last updated
09/02/2025
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