| Doctor Name: | MR. MICHAEL BRENT CONAWAY |
| NPI Number: | 1104996073 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 790 |
| Business Practice Address: | 841 Commerce St Wellsburg, WV - 260701528 |
| Business Phone Number: | 3047370437 |
| Business Fax Number: | 3047370581 |
| Mailing Address: | 1212 Garfield Ave, Suite 200 PARKERSBURG |
| State: | WV |
| Postal Code: | 261013247 |
| Phone Number: | 3048656778 |
| Fax Number: | 3048657400 |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 06/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 790 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |