# SOULSHINE PELVIC HEALTH AND WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679124358
- **Authorized official:** DR. MEGHAN FRANCES DAVIDSON PT, DPT (OWNER)
- **Authorized official phone:** (803) 784-2464

## Contact information

- **Practice address:** 3000 ROSEWOOD DR STE 5, COLUMBIA, SC 29205-3433
- **Practice address phone:** (803) 784-2464
- **Mailing address:** 3213 CANNON ST, COLUMBIA, SC 29205-3438
- **Mailing address phone:** (301) 467-7757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/24/2019
- **Last updated:** 11/03/2020