Individual
TANNOR RAY DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 CALDWELL LN, DUNBAR, WV 25064-2026
(304) 744-4761
Mailing address
501 CALDWELL LN, DUNBAR, WV 25064-2026
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002829
WV
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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