Provider Demographics
NPI:1457456394
Name:CARNEY, LAURA SETZLER (PT)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:SETZLER
Last Name:CARNEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:887 DORN RD
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-8308
Mailing Address - Country:US
Mailing Address - Phone:540-635-6716
Mailing Address - Fax:
Practice Address - Street 1:64 SOMERSET BLVD
Practice Address - Street 2:
Practice Address - City:CHARLES TOWN
Practice Address - State:WV
Practice Address - Zip Code:25414-4827
Practice Address - Country:US
Practice Address - Phone:304-728-5066
Practice Address - Fax:304-728-5074
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV002283225100000X
VA2305202906225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist