SearchWest Virginia225200000X

Dusty Sanders, PTA

NPI 1316773179 · on the registry since 2024

Practice

Address
4216 Maccorkle Ave Se Ste 4
Charleston, WV 25304
Phone
(304) 926-0913
Fax
(304) 926-0914
Organisation at this address
Eagle Pharmacy Llc
Praxair Healthcare Services, Inc.
Capital Physical Therapy And Fitness Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia