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Organization
INDIGO THERAPY SPECIALISTS, LLC
Active
Organization
INDIGO THERAPY SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR J KLIXBULL DPT, CSCS (OWNER/DIRECTOR OF PHYSICAL THERAPY)
(843) 357-4039
Entity
Organization
Contact information
Practice address
11931 PLAZA DR, MURRELLS INLET, SC 29576-9356
(843) 357-4039
(843) 357-4227
Mailing address
PO BOX 1795, MURRELLS INLET, SC 29576-1795
(843) 357-4039
(843) 357-4227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5347
SC
Other
Enumeration date
12/09/2008
Last updated
06/10/2009
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