Individual
MR. KELLEY SCOTT RANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
5724 HAMMONDS MILL RD, SUITE G, MARTINSBURG, WV 25404-6465
(304) 274-0123
(304) 274-1819
Mailing address
5724 HAMMONDS MILL ROAD, SUITE G, MARTINSBURG, WV 25404
(304) 274-0123
(304) 274-1819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 001719
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650020891
RAILROAD PROVIDER #
WV
05
—
9420213001
—
WV
Enumeration date
09/25/2006
Last updated
03/26/2021
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