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

Charles Pethtel Jr.

Individual provider Physical Therapy Assistant · NPI 1639004658

Charles Pethtel Jr. is a Physical Therapy Assistant in Fairmont, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2026

Practice location Address checks out

1543 Country Club Rd
Fairmont, WV 26554-1306
Phone: (304) 363-2273
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA001659 (WV)

Record details

NPI number1639004658
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 13, 2026
Last updated in NPPESJune 13, 2026
Certification dateJune 13, 2026
Mailing address1543 Country Club Rd, Fairmont, WV 26554-1306

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