Wise County Public Schools

Specialty details in registry · Wise, VA

Call (276) 328-8017 Directions

At a glance

628 Lake St, Wise, VA 24293

NPPES record updated Sep 11, 2025. Public records can lag behind changes at a practice.

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Practice location

628 Lake St
Wise, VA 24293

Professional details: NPI, taxonomy & registry record

NPI1003922972

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 363LS0200X
Enumeration date: Aug 22, 2006
Record updated: Sep 11, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103TS0200X

Specialty details in registry

163WS0200X

Specialty details in registry

164W00000X

Physical Therapist

225100000X

Occupational Therapist

225X00000X

Speech-Language Pathologist

235Z00000X

Specialty details in registry

363LS0200X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

628 Lake St
Wise, VA 24293

Phone: (276) 328-8017
Fax: (276) 328-3350

Mailing address

PO BOX 1217

WISE, VA 24293

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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