Individual
HEIDI SHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1459
(304) 285-0692
Mailing address
PO BOX 192, REEDSVILLE, WV 26547-0192
(304) 376-1097
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002224
WV
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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