Provider Demographics
NPI:1144001736
Name:UNGER, ALENA BET (LMT)
Entity type:Individual
Prefix:
First Name:ALENA
Middle Name:BET
Last Name:UNGER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2131 BROAD RUN RD
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:WV
Mailing Address - Zip Code:26802-8546
Mailing Address - Country:US
Mailing Address - Phone:540-303-7026
Mailing Address - Fax:
Practice Address - Street 1:9 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WV
Practice Address - Zip Code:26807-6660
Practice Address - Country:US
Practice Address - Phone:304-668-1796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019006797225700000X
WV2014-3253225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist