# PROAXIS SPARTANBURG, LLC

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

## Provider details

- **NPI number:** 1902841794
- **Authorized official:** ROBBIE LEONARD PT (VICE PRESIDENT OF ADMINISTRATION)
- **Authorized official phone:** (864) 528-5707

## Contact information

- **Practice address:** 333 S PINE ST, SPARTANBURG, SC 29302-2622
- **Practice address phone:** (864) 515-7580
- **Practice address fax:** (864) 515-7580
- **Mailing address:** 125 THE PKWY, SUITE 501, GREENVILLE, SC 29615-6610
- **Mailing address phone:** (864) 528-5700
- **Mailing address fax:** (864) 528-5701

## Taxonomy

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

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 06/04/2009