IndividualActive
Addison Kaufmann
NPI 1093593857 · Physical Therapist · Fairmont, WV
Provider details
- NPI number
- 1093593857
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PT004682 (WV)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1228 Country Club Rd Ste 15
Fairmont, WV 26554-2377
Phone: (304) 366-0461
Approximate (ZIP-level) locationGet directions
Mailing address
170 Pride Ridge Rd
Fairmont, WV 26554-6398
Registry dates
- Enumerated
- 2023-09-21
- Last updated
- 2023-09-21
- Certified
- 2023-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.