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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH LAGUA ADIVINO, PT, MS

Active Sole Proprietor

MR. KENNETH LAGUA ADIVINO, PT, MS is a Physical Therapy Assistant healthcare provider located in BECKLEY, West Virginia. NPI 1184087793 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BECKLEY, WV

Registration Details

NPI Number
1184087793
Provider Type
Individual
Gender
Male
NPI Issued
Mar 31, 2016 (10.339567248273 yrs)
Last Updated
Mar 31, 2016
Licenses
PT003604 (WV)
4669 (NM)
Sole Proprietor
Yes

Practice Information

Address
306 STANAFORD RD
BECKLEY, WV, 258013142
Browse WV providers · Browse ZIP 25801
Phone
3042553302
Fax
3042542783
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in BECKLEY, WV

Name Credential NPI
CLARK K VAUGHAN PT 1659365898
MICHAEL P BATES PT CCM 1154315216
PAMELA A MORGAN MSPT CCM 1730160995
MR. PAUL MICHAEL VAUGHAN PT 1689622052
MR. CHARLES S JACINTO PT 1710081997
JOHN BEASLEY PT 1134227747
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.