Organization
RED CANYON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JAMES GARDNER (OWNER)
(443) 416-7949
Entity
Organization
Contact information
Practice address
5801 WILLIAMSPORT PIKE STE 200, MARTINSBURG, WV 25404-6590
(304) 244-5442
Mailing address
5801 WILLIAMSPORT PIKE STE 200, MARTINSBURG, WV 25404-6590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
10/02/2025
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