Provider Demographics
NPI:1417611534
Name:HESS, ALEA RAY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ALEA
Middle Name:RAY
Last Name:HESS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1167 MARTIN HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26501-2021
Mailing Address - Country:US
Mailing Address - Phone:304-276-8874
Mailing Address - Fax:
Practice Address - Street 1:119 THE PLAINS RD STE 100
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:VA
Practice Address - Zip Code:20117-2691
Practice Address - Country:US
Practice Address - Phone:540-687-8181
Practice Address - Fax:540-687-8256
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-25
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV004448225100000X
VA2305214715225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist