Provider Demographics
NPI:1356924971
Name:CARVER, ANDREW JAMES (PT, DPT)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:JAMES
Last Name:CARVER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:AJ
Other - Middle Name:
Other - Last Name:CARVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:120 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:BLUEFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24605-1451
Mailing Address - Country:US
Mailing Address - Phone:304-952-6811
Mailing Address - Fax:
Practice Address - Street 1:54 FLOYD PIKE
Practice Address - Street 2:
Practice Address - City:HILLSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24343-1694
Practice Address - Country:US
Practice Address - Phone:276-728-7280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-02
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist