Provider Demographics
NPI:1134459282
Name:GETZ, HALEY M (DPT)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:M
Last Name:GETZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1543 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-1306
Mailing Address - Country:US
Mailing Address - Phone:304-367-4920
Mailing Address - Fax:
Practice Address - Street 1:2195 CHEAT RD STE 1
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-4516
Practice Address - Country:US
Practice Address - Phone:304-594-2500
Practice Address - Fax:304-594-9310
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVPT002780225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist