Individual provider · Type 1 NPI

Kelly Southard

Physical Therapy Assistant · Greenville, SC

NPI number 1114145653 Active

Practice location

3400 Anderson Rd Ste C
Greenville, SC 29611-7651

Call (864) 295-9890 Map

Mailing address

300 Dunhill Dr
Anderson, SC 29625-5209

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1953 (SC)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1114145653

Kelly Southard's National Provider Identifier is 1114145653, issued on Apr 22, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Greenville, SC. The record was last updated on Jul 8, 2007.