Individual
KYRA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
225 RUSSELL AVE, NEW MARTINSVILLE, WV 26155-1572
(304) 455-2600
Mailing address
37295 MARIETTA ST, SARDIS, OH 43946-8718
(304) 815-5715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002654
WV
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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