Organization
KING PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA R KING MPT (PRESIDENT)
(304) 262-8161
Entity
Organization
Contact information
Practice address
55 MERIDIAN PKWY STE 110, MARTINSBURG, WV 25404-5422
(304) 262-8161
Mailing address
55 MERIDIAN PKWY STE 110, MARTINSBURG, WV 25404-5422
(304) 262-8161
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001709268
BCBS
WV
01
—
11547365
CAQH ID NUMBER
—
01
—
7923672
AETNA
WV
Enumeration date
03/13/2008
Last updated
06/13/2024
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