Provider Demographics
NPI:1073824918
Name:ELK VALLEY PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:ELK VALLEY PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEARY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:304-965-7979
Mailing Address - Street 1:213 CROSSINGS MALL RD
Mailing Address - Street 2:
Mailing Address - City:ELKVIEW
Mailing Address - State:WV
Mailing Address - Zip Code:25071-9230
Mailing Address - Country:US
Mailing Address - Phone:304-965-7979
Mailing Address - Fax:304-965-3239
Practice Address - Street 1:213 CROSSINGS MALL RD
Practice Address - Street 2:
Practice Address - City:ELKVIEW
Practice Address - State:WV
Practice Address - Zip Code:25071-9230
Practice Address - Country:US
Practice Address - Phone:304-965-7979
Practice Address - Fax:304-965-3239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty