Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid-Ohio Valley Physical Medicine

Organization Physical Medicine & Rehabilitation Physician · NPI 1700098811

Mid-Ohio Valley Physical Medicine is a Physical Medicine & Rehabilitation Physician in Marietta, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
Specialties on file
4

Practice location Address checks out

400 Matthew St Ste 306
Marietta, OH 45750
Phone: (740) 376-5044
Fax: (740) 374-1792
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 35066931L (OH)
Spinal Cord Injury Medicine Physician Taxonomy 2081P0004X · Licence 35066931L (OH)
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X · Licence 35066931L (OH)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence 35066931L (OH)

Record details

NPI number1700098811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Lacey — President · (740) 376-5044
NPI enumeratedMay 3, 2007
Last updated in NPPESJuly 17, 2007
Mailing address400 Matthew Street, Suite 306, Marietta, OH 45750

Other providers in Marietta