Ickes, Timothy R.

Ickes, Timothy R. is an individual health care provider with primary practice located at 1509 W Main St Ste 201 , Milton WV 25541-1105. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ickes, Timothy R. can be contacted via phone (304) 743-6995.

Contact Information

Primary practice address
1509 W Main St Ste 201 Milton WV 25541-1105
Phone: (304) 743-6995
Fax: (304) 743-5778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT001895 West Virginia

Profile Details

NPI number 1588854954
LBN Legal business name Ickes, Timothy R.
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2007
Last updated Jul 31st, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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