Individual
MR. WESLEY SHANE BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
20 WESTWOOD MEDICAL PARK, BLUEFIELD, VA 24605-2003
(276) 322-5439
Mailing address
20 WESTWOOD MEDICAL PARK, BLUEFIELD, VA 24605-2003
(276) 322-5439
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601383
VA
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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