| Jason Isaac Malcomb, DPT | |
|
5447 Maple Ln, Fayetteville, WV 25840-6872 | |
| (304) 574-1141 | |
| Not Available |
| Full Name | Jason Isaac Malcomb |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5447 Maple Ln, Fayetteville, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275225047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Isaac Malcomb, DPT 68 Malcomb Dr, Summersville, WV 26651-1283 Ph: () - | Jason Isaac Malcomb, DPT 5447 Maple Ln, Fayetteville, WV 25840-6872 Ph: (304) 574-1141 |
Lisa E Harris, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 233 N Court St, Fayetteville, WV 25840 Phone: 304-574-1416 Fax: 304-574-1474 | |
Ms. Anita Louise Swanson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Fayette Ave, Fayetteville, WV 25840 Phone: 304-574-1176 Fax: 304-574-3643 | |
Sharon Pack, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Fayette Ave, Fayetteville, WV 25840 Phone: 304-574-1176 |