Timothy Ickes, MPT

NPI 1588854954 · on the registry since 2007

Practice

Address: 1509 W Main St Ste 201
Milton, WV 25541
Phone: (304) 743-6995
Fax: (304) 743-5778
Organisation at this address: Valley Health Ona Ffs
Generations R.C., Inc.
Valley Health Systems, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: WV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-31

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