| Mr Timothy R Ickes, MPT | |
|
1509 W Main St Ste 201, Milton, WV 25541-1105 | |
| (304) 743-6995 | |
| (304) 743-5778 |
| Full Name | Mr Timothy R Ickes |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1509 W Main St Ste 201, Milton, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588854954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT001895 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy R Ickes, MPT Po Box 687, Greenup, KY 41144-0687 Ph: (606) 473-1080 | Mr Timothy R Ickes, MPT 1509 W Main St Ste 201, Milton, WV 25541-1105 Ph: (304) 743-6995 |
Mr. Brandon Beacom, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1509 W Main St, Suite 201, Milton, WV 25541 Phone: 304-733-9560 Fax: 304-733-1141 | |
Generations R.c., Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1509 W Main St, Suite 201, Milton, WV 25541 Phone: 304-743-6995 Fax: 304-473-5778 |