TIMOTHY R. ICKES

MILTON, WV
NPI1588854954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WV  PT001895)
Enumeration Date2007-07-31
Last Update Date2007-07-31
Business Address
Mr. TIMOTHY R. ICKES MPT
1509 W MAIN ST STE 201
MILTON, WV 25541-1105
Phone number: 304-743-6995
Mailing Address
Mr. TIMOTHY R. ICKES MPT
PO BOX 687
GREENUP, KY 41144-0687
Phone number: 606-473-1080
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