Individual
JEREMY SCOTT VIPPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1540 SPRING VALLEY DR, 1B125, HUNTINGTON, WV 25704-9300
(304) 429-6741
(304) 429-7579
Mailing address
1540 SPRING VALLEY DR, 1B125, HUNTINGTON, WV 25704-9300
(304) 429-6741
(304) 429-7579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004964
KY
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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