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

ETHAN B. COLLIVER D.O. PLLC

Active Organization

ETHAN B. COLLIVER D.O. PLLC is a Physical Medicine & Rehabilitation organization located in BLACKSBURG, Virginia. NPI 1740572205 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · BLACKSBURG, VA

Registration Details

NPI Number
1740572205
Provider Type
Organization
NPI Issued
May 3, 2011 (15.299327819934 yrs)
Last Updated
May 3, 2011
License
0102202537 (VA)

Practice Information

Address
3706 S MAIN ST
BLACKSBURG, VA, 240607006
Browse VA providers · Browse ZIP 24060
Phone
5403453556
Fax
5407771147
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Organizations in BLACKSBURG, VA

Name NPI
COLLIVER SPORTS & SPINE INC 1447545751
CTL OF VA LLC 1700503992
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.