Provider Demographics
NPI:1013927268
Name:LIEVRE, ARTHUR J (DPT CSCS)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:J
Last Name:LIEVRE
Suffix:
Gender:M
Credentials:DPT CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 803
Mailing Address - Street 2:1195 HISEY AVENUE WOODSTOCK REHAB & FITNESS
Mailing Address - City:WOODSTOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22664
Mailing Address - Country:US
Mailing Address - Phone:540-459-7772
Mailing Address - Fax:540-459-7782
Practice Address - Street 1:1195 HISEY AVENUE
Practice Address - Street 2:WOODSTOCK REHAB & FITNESS
Practice Address - City:WOODSTOCK
Practice Address - State:VA
Practice Address - Zip Code:22664
Practice Address - Country:US
Practice Address - Phone:540-459-7772
Practice Address - Fax:540-459-7782
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305601642225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00281388OtherRAILROAD MEDICARE
195498OtherANTHEM
2230260OtherFIRST HEALTH
195498OtherANTHEM