Most Relevant Information
Provider Data
| NPI Number: | 1003242074 |
| Provider Name: | MICKI LYNN TOWNSEND LPTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA001877 |
Most Important Dates
| Enumeration Date: | 09/22/2013 |
| Last Updated: | 09/22/2013 |
Provider Practice Location
825 SUMMIT ST
SPENCER
WV
252761035
Practice Location Phone/Fax
| Phone: | 3049271007 |
| Fax: |
Provider Mailing Location
2509 GIHON RD
PARKERSBURG
WV
261017112
Provider Mailing Phone/Fax
| Phone: | 3046156335 |
| Fax: |