| NPI | 1689773327 |
|---|---|
| Doing Business As | TEAYS VALLEY MEDICINE AND REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | DARRIN ANDREW VANSCOY President 304-760-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: WV 940) |
| Additional Taxonomies | 111NX0800X Chiropractor Orthopedic (Licence: WV 729) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-10-25 |