# SPORTS THERAPY OF GREENVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** D1 Sports Therapy of Greenville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225156334
- **Authorized official:** MR. JUSTIN LAWSON (DIRECTOR OF FINANCE)
- **Authorized official phone:** (615) 342-0214

## Contact information

- **Practice address:** 1334 MILLER RD, GREENVILLE, SC 29607-5710
- **Practice address phone:** (864) 288-3878
- **Practice address fax:** (864) 288-3844
- **Mailing address:** PO BOX 331225, NASHVILLE, TN 37203-7512
- **Mailing address phone:** (615) 342-0223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 08/22/2020