Shenandoah Memorial Hospital
Clinic/Center, Physical Therapy in Mount Jackson, VA. Organization (NPI-2).
NPI number1982805230
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982805230
- Entity type
- Organization (NPI-2)
- Legal business name
- Shenandoah Memorial Hospital
- Organization subpart
- No
- Enumeration date
- May 31, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | H1900 | VA | Yes |
Other names
- Shenandoah Physical Therapy (Doing Business As)
Practice location
5173 Main StMount Jackson, VA 22842-9513
Phone 540-477-4004
Mailing address
759 S Main StWoodstock, VA 22664-1127
Phone 540-459-1120 · Fax 540-459-1121
Authorized official
Virginia Kilmer
Cfo
5404591120
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