Individual
SHANE PIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 LOCUST AVE STE A, FAIRMONT, WV 26554
(304) 333-5222
(304) 333-5224
Mailing address
1900 LOCUST AVE STE A, FAIRMONT, WV 26554-1293
(304) 333-5222
(304) 333-5224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3631
WV
Other
Enumeration date
06/08/2016
Last updated
07/06/2018
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