IndividualActive
Terry Gruber, B.S. ED.
NPI 1750917050 · Developmental Therapist · Shanks, WV
Provider details
- NPI number
- 1750917050
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- B.S. ED.
- Sex
- Male
- Sole proprietor
- Yes
- License
- E2R098400085 (WV)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5699 S Fork Little Cacapon Rd
Shanks, WV 26761-9128
Phone: (304) 257-0240
Approximate (ZIP-level) locationGet directions
Mailing address
5699 S Fork Little Cacapon Rd
Shanks, WV 26761-9128
Registry dates
- Enumerated
- 2020-03-18
- Last updated
- 2024-12-30
- Certified
- 2024-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.