Provider Demographics
NPI:1821221110
Name:STARKEY, VIRGINIA LEANN (PTA)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:LEANN
Last Name:STARKEY
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MS
Other - First Name:VIRGINIA
Other - Middle Name:LEANN
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:5390 LYNN CREEK ROAD
Mailing Address - Street 2:
Mailing Address - City:LAVALETTE
Mailing Address - State:WV
Mailing Address - Zip Code:25535
Mailing Address - Country:US
Mailing Address - Phone:304-942-5380
Mailing Address - Fax:
Practice Address - Street 1:5390 LYNN CREEK ROAD
Practice Address - Street 2:
Practice Address - City:LAVALETTE
Practice Address - State:WV
Practice Address - Zip Code:25535
Practice Address - Country:US
Practice Address - Phone:304-942-5380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV001478225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant