IndividualActive
Jefferson Haught, STUDENT
NPI 1770243156 · Sports Physical Therapist · Williamstown, WV
Provider details
- NPI number
- 1770243156
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- STUDENT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
406 W 4th St
Williamstown, WV 26187-1107
Phone: (304) 580-9008
Approximate (ZIP-level) locationGet directions
Mailing address
406 W 4th St
Williamstown, WV 26187-1107
Registry dates
- Enumerated
- 2021-12-27
- Last updated
- 2021-12-27
- Certified
- 2021-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.