| Richard A Gandee Ii, DPT | |
| 
					117 W. Wagner Street, Ellenboro, WV 26346-0328  | |
| (304) 869-3888 | |
| (304) 869-3444 | 
| Full Name | Richard A Gandee Ii | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 117 W. Wagner Street, Ellenboro, 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 | 
|---|---|---|---|
| 1619368669 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | PT003287 (West Virginia) | Primary | 
| Provider Name | Healthpro Heritage Rehab & Fitness Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1669138806 PECOS PAC ID: 6507832573 Enrollment ID: O20220301000927  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Richard A Gandee Ii, DPT 415 36th St, Suite 100, Parkersburg, WV 26101-1005 Ph: (304) 202-3560  | Richard A Gandee Ii, DPT 117 W. Wagner Street, Ellenboro, WV 26346-0328 Ph: (304) 869-3888  | 
Wesley Kirk Eades, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 W. Wagner Street, Ellenboro, WV 26346 Phone: 304-869-3888 Fax: 304-869-3444  | |
Sherri Denise Wells, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 117 W Wagner St, Ellenboro, WV 26346 Phone: 304-869-3888 Fax: 304-869-3444  | |
Nicole Deann Sleeth, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 West Wagner Street, Ellenboro, WV 26346 Phone: 304-869-3888 Fax: 304-869-3888  |