Provider Demographics
NPI:1497127864
Name:CHEAT MT PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:CHEAT MT PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIPPET
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:304-335-6878
Mailing Address - Street 1:9786 SENECA TRAIL
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WV
Mailing Address - Zip Code:26280
Mailing Address - Country:US
Mailing Address - Phone:304-335-6878
Mailing Address - Fax:304-335-6879
Practice Address - Street 1:9786 SENECA TRAIL
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WV
Practice Address - Zip Code:26280
Practice Address - Country:US
Practice Address - Phone:304-335-6878
Practice Address - Fax:304-335-6879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty