Individual
BROCK DANIEL ATHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 W VIRGINIA WAY, RANSON, WV 25438-4882
(304) 728-9090
(304) 728-9087
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
030519
PA
225100000X
Physical Therapist
Primary
PT004197
WV
225100000X
Physical Therapist
PT61560597
WA
Other
Enumeration date
08/02/2019
Last updated
09/26/2025
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