# TRI-COUNTY PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1912292566
- **Authorized official:** MR. GARY LYNN SHEAFFER JR. PT (CEO)
- **Authorized official phone:** (803) 604-1479

## Contact information

- **Practice address:** 2340 CANEY BRANCH RD, LEESVILLE, SC 29070-8926
- **Practice address phone:** (803) 604-1479
- **Practice address fax:** (803) 604-1479
- **Mailing address:** 2340 CANEY BRANCH RD, LEESVILLE, SC 29070-8926
- **Mailing address phone:** (803) 604-1479
- **Mailing address fax:** (803) 604-1479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 5319 | SC | Yes |

## Other

- **Enumeration date:** 06/12/2011
- **Last updated:** 06/12/2011