Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN B COLLIVER, D.O.
ActiveDR. ETHAN B COLLIVER, D.O. is a Physical Medicine & Rehabilitation healthcare provider located in PRINCETON, West Virginia. NPI 1184803330 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · PRINCETON, WV
Registration Details
- NPI Number
- 1184803330
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2007 (18.66292998226 yrs)
- Last Updated
- Oct 17, 2025
- Licenses
-
0102202357 (VA)4641 (WV)
Practice Information
- Address
-
122 12TH STPRINCETON, WV, 247402312Browse WV providers · Browse ZIP 24740
- Phone
- 3044257127
- Fax
- 3044877235
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Medicine & Rehabilitation
Other Physical Medicine & Rehabilitation Providers in PRINCETON, WV
| Name | Credential | NPI |
|---|---|---|
| MR. DULIO W GUARNIERI | MD | 1285614289 |
| DR. ROBERT WALKER | MD | 1255309910 |
| YUANHUI ZHANG | MD | 1841305257 |
| MRS. EVA NELSON | LMT | 1548800394 |
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.