# PINNACLE PHYSICAL THERAPY & PERSONAL TRAINING, LLC

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

## Provider details

- **NPI number:** 1710430657
- **Authorized official:** JAMES R WATTS DPT (OWNER)
- **Authorized official phone:** (803) 726-0309

## Contact information

- **Practice address:** 3250 FOREST DR, SUITE 50, COLUMBIA, SC 29204-4023
- **Practice address phone:** (803) 726-0309
- **Practice address fax:** (803) 726-0390
- **Mailing address:** 3250 FOREST DR, SUITE 50, COLUMBIA, SC 29204-4023
- **Mailing address phone:** (803) 726-0309
- **Mailing address fax:** (803) 726-0390

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2016
- **Last updated:** 07/27/2016