| Physcial And Aquatic Therapy, Inc. | |
| 54 W 3rd Ave, Williamson, WV 25661-3508 | |
| (304) 235-4300 | |
| (304) 235-0176 | 
| Full Name | Physcial And Aquatic Therapy, Inc. | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist | 
| Location | 54 W 3rd Ave, Williamson, West Virginia | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1578671681 | NPI | - | NPPES | 
| 001723120 | Other | PIN # | |
| 001711463 | Other | BLUE CROSS/BLUE SHIELD GP | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Physcial And Aquatic Therapy, Inc. 54 W 3rd Ave, Williamson, WV 25661-3508 Ph: () - | Physcial And Aquatic Therapy, Inc. 54 W 3rd Ave, Williamson, WV 25661-3508 Ph: (304) 235-4300 | 
| Mr. Jeremy Robert Stuck, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 54 W 3rd Ave, Williamson, WV 25661 Phone: 304-235-4300 Fax: 304-235-0176 | |
| Mr. John Christopher Kazalas, MPT, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 54 W 3rd Ave, Williamson, WV 25661 Phone: 304-235-4300 Fax: 304-235-0176 | |
| Ms. Tiffiney Shawn Bentley, P.T.,M.S. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 38 W 2nd Ave, Williamson, WV 25661 Phone: 304-235-9781 Fax: 304-235-9782 | |
| Melissa Adams, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 E 2nd Ave, Williamson, WV 25661 Phone: 304-235-9781 Fax: 304-235-9782 | |
| Mr. Emarjun Brucal, PT, MHA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 W 4th Ave, Williamson, WV 25661 Phone: 304-235-2389 |