Provider Demographics
NPI:1235256611
Name:NASH, BARBARA J (LMT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:NASH
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 S KERENS AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS
Mailing Address - State:WV
Mailing Address - Zip Code:26241-3538
Mailing Address - Country:US
Mailing Address - Phone:304-636-6391
Mailing Address - Fax:304-636-6391
Practice Address - Street 1:918 S KERENS AVE
Practice Address - Street 2:
Practice Address - City:ELKINS
Practice Address - State:WV
Practice Address - Zip Code:26241-3538
Practice Address - Country:US
Practice Address - Phone:304-636-6391
Practice Address - Fax:304-636-6391
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2006-1953225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist