Organization
PRAXIS CORPORATION
Active
Other names
Bodyworks Pineville
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P BATES PT (PRESIDENT PT CEO)
(304) 255-2376
Entity
Organization
Contact information
Practice address
454 APPALACHIAN HWY RT 10, PINEVILLE, WV 24874
(304) 202-0424
(304) 732-8800
Mailing address
9 YELLOW WOOD WAY, BECKLEY, WV 25801-7126
(304) 255-2376
(304) 255-7120
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710560
BLUE CROSS BLUE SHIELD
WV
01
—
1196527
CIGNA
WV
01
—
223194
CARELINK
WV
01
—
371681200
FEDERAL WORKERS COMP.
WV
05
—
3810011548
—
WV
01
—
7926084
AETNA
WV
01
—
CI4026
RAILROAD MEDICARE
WV
Enumeration date
04/06/2007
Last updated
05/17/2016
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