Doctor Name: | KRYSTAL DALE |
NPI Number: | 1447650304 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 002866 |
Business Practice Address: | 436 Central Ave Oak Hill, WV - 259013009 |
Business Phone Number: | 3044653654 |
Business Fax Number: | 3044658551 |
Mailing Address: | Po Box 549, COOL RIDGE |
State: | WV |
Postal Code: | 258250549 |
Phone Number: | 3042573474 |
Fax Number: | 3044658551 |
NPI Enumeration Date: | 08/28/2014 |
NPI Last Update Date: | 08/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 002866 |
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 |