# SPORTS PLUS PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1952555971
- **Authorized official:** MRS. KATHLYNN J MYERS (PHYSICAL THERAPIST ASSISTANT)
- **Authorized official phone:** (843) 875-4770

## Contact information

- **Practice address:** 93B SPRINGVIEW LN, SUMMERVILLE, SC 29485-8154
- **Practice address phone:** (843) 875-4770
- **Practice address fax:** (843) 875-4396
- **Mailing address:** 93B SPRINGVIEW LN, SUMMERVILLE, SC 29485-8154
- **Mailing address phone:** (843) 875-4770
- **Mailing address fax:** (843) 875-4396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 2237 | SC | Yes |

## Other

- **Enumeration date:** 11/05/2008
- **Last updated:** 11/05/2008