| Jeanette Shannon-alix, | |
|
41 Crestview Ter, Bridgeport, WV 26330-1010 | |
| (304) 842-3610 | |
| Not Available |
| Full Name | Jeanette Shannon-alix |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 41 Crestview Ter, Bridgeport, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558488916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1215 (West Virginia) | Primary |
| Provider Name | Wv Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063692333 PECOS PAC ID: 8123106416 Enrollment ID: O20080428000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanette Shannon-alix, 81 Samantha Drive, Fairmont, WV 26554 Ph: () - | Jeanette Shannon-alix, 41 Crestview Ter, Bridgeport, WV 26330-1010 Ph: (304) 842-3610 |
Mrs. Lawren Elizabeth Sandy, MPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 306 W Main St, Bridgeport, WV 26330 Phone: 304-842-3137 Fax: 304-842-3138 | |
Stephanie Alex, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2440 Andell Rd, Bridgeport, WV 26330 Phone: 304-376-9846 | |
Breanna Nicole Lloyd, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2025 White Oaks Blvd, Bridgeport, WV 26330 Phone: 681-842-4082 | |
Gregory Lee Roberson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 415 Benedum Dr, Bridgeport, WV 26330 Phone: 304-842-9887 Fax: 304-842-9888 | |
Christopher Ude, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1126 Worthington Dr, Bridgeport, WV 26330 Phone: 304-612-0119 | |
Jason Fertig, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 Grande Meadows Dr Ste 102, Bridgeport, WV 26330 Phone: 304-592-2009 Fax: 304-599-7800 | |
Hanna Mcclung, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 306 W Main St, Bridgeport, WV 26330 Phone: 304-842-3137 Fax: 304-842-3138 |