Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIMOTHY R. ICKES, MPT
ActiveMR. TIMOTHY R. ICKES, MPT is a Physical Therapy Assistant healthcare provider located in MILTON, West Virginia. NPI 1588854954 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MILTON, WV
Registration Details
- NPI Number
- 1588854954
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2007 (19.010336631876 yrs)
- Last Updated
- Jul 31, 2007
- License
-
PT001895 (WV)
Practice Information
- Address
-
1509 W MAIN ST STE 201MILTON, WV, 255411105Browse WV providers · Browse ZIP 25541
- Phone
- 3047436995
- Fax
- 3047435778
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MILTON, WV
| Name | Credential | NPI |
|---|---|---|
| MR. BRANDON BEACOM | DPT | 1104174614 |
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.