IndividualActive
Bradley Stalder
NPI 1093438467 · Physical Therapy Assistant · New Martinsville, WV
Provider details
- NPI number
- 1093438467
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 001686 (WV)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
411 N State Route 2
New Martinsville, WV 26155-2711
Phone: (304) 455-5515
Approximate (ZIP-level) locationGet directions
Mailing address
411 N State Route 2
New Martinsville, WV 26155-2711
Registry dates
- Enumerated
- 2022-09-21
- Last updated
- 2022-09-21
- Certified
- 2022-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.