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)
(304) 598-2212
Entity
Organization
Contact information
Practice address
3411 UNIVERSITY AVE SUITE 1, MORGANTOWN, WV 26505-7240
(304) 598-2212
(304) 598-2258
Mailing address
3411 UNIVERSITY AVE SUITE 1, MORGANTOWN, WV 26505-7240
(304) 598-2212
(304) 598-2258
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
08/03/2026
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