| Matthew Childress, DPT | |
|
6979 Teays Valley Rd, Scott Depot, WV 25560-7097 | |
| (681) 235-7156 | |
| Not Available |
| Full Name | Matthew Childress |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 6979 Teays Valley Rd, Scott Depot, 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 |
|---|---|---|---|
| 1528513629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Communication Station, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780068007 PECOS PAC ID: 2062858590 Enrollment ID: O20240307000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Childress, DPT 6979 Teays Valley Rd, Scott Depot, WV 25560-7097 Ph: (681) 235-7156 | Matthew Childress, DPT 6979 Teays Valley Rd, Scott Depot, WV 25560-7097 Ph: (681) 235-7156 |
Breanna Klaiber, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6979 Teays Valley Rd, Scott Depot, WV 25560 Phone: 681-235-7156 Fax: 681-235-7156 | |
Kayla Greene, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Devonshire Dr Apt 205, Scott Depot, WV 25560 Phone: 315-219-6981 | |
Donna J Patrick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Rolling Mdws, Scott Depot, WV 25560 Phone: 304-757-3104 |