Organization · Type 2 NPI

East Cooper Wellness

Rehabilitation Practitioner · Mount Pleasant, SC

NPI number 1255747283 Active

Practice location

1965 Riviera Dr
Mount Pleasant, SC 29464-7469

Call (843) 571-3100 Map

Fax (843) 766-7798

Mailing address

3741 Tideland Dr
Johns Island, SC 29455-7456

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Practitioner Primary	225400000X	23765 (SC)

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Another provider at this address

Tony Wayne Vanderpool, DCChiropractor Mount Pleasant, SC NPI 1093763732

NPI record

NPI: 1255747283
Entity type: Organization (Type 2)
Issued: Jul 10, 2014
Last updated: Sep 11, 2014
Status: Active
Subpart: Yes of West Ashley Wellness & Rehabilitation, LLC

Other names

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East Cooper Wellness · doing business as

Authorized official

Karen Luckie
Office Manager
(843) 571-3100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255747283

East Cooper Wellness's National Provider Identifier is 1255747283, issued on Jul 10, 2014. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Mount Pleasant, SC. The record was last updated on Sep 11, 2014.