| Trent Boles, | |
|
3 Western Hills Dr, Parkersburg, WV 26105-8122 | |
| (304) 420-1300 | |
| Not Available |
| Full Name | Trent Boles |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3 Western Hills Dr, Parkersburg, 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 |
|---|---|---|---|
| 1326173816 | NPI | - | NPPES |
| 000676 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 000676 (West Virginia) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689194755 PECOS PAC ID: 6507832573 Enrollment ID: O20170822000887 |
| Mailing Address | Practice Location Address |
|---|---|
| Trent Boles, 137 Karen Street, Washington, WV 26181 Ph: (304) 863-0651 | Trent Boles, 3 Western Hills Dr, Parkersburg, WV 26105-8122 Ph: (304) 420-1300 |
Ann K Greer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3503 Hamilton Ct, Parkersburg, WV 26104 Phone: 304-485-6895 Fax: 304-485-6895 | |
Bermae Casalan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2113 Park Ave Ste 203, Parkersburg, WV 26101 Phone: 304-422-9293 | |
Chloe Snyder, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 417 Grand Park Dr Ste 203, Parkersburg, WV 26105 Phone: 304-422-9293 | |
Judith Anne Hatcher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 723 Summers St, Parkersburg, WV 26101 Phone: 304-428-5573 | |
William Betkoski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Western Hills Dr, Parkersburg, WV 26105 Phone: 304-420-1300 | |
Dylan Stansberry, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1212 Garfield Ave Ste 200, Parkersburg, WV 26101 Phone: 304-865-6778 | |
Alexander Dale Midcap, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 417 Grand Park Dr Ste 203, Parkersburg, WV 26105 Phone: 304-422-9293 |