SearchVirginia2255A2300X

Tim Bane, ATC

NPI 1487302592 · on the registry since 2022 · sole proprietor

Practice

Address
1092 Winter Wren St
Grundy, VA 24614
Phone
(540) 632-9184

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-03-17

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 Virginia