# WEST ASHLEY WELLNESS & REHABILITATION, LLC

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

## Provider details

- **NPI number:** 1962726117
- **Authorized official:** KAREN R LUCKIE (OFFICE MANAGER)
- **Authorized official phone:** (843) 571-3100

## Contact information

- **Practice address:** 2 CARRIAGE LN, CHARLESTON, SC 29407-6010
- **Practice address phone:** (843) 571-3100
- **Practice address fax:** (843) 766-7798
- **Mailing address:** 2 CARRIAGE LN, CHARLESTON, SC 29407-6010
- **Mailing address phone:** (843) 571-3100
- **Mailing address fax:** (843) 766-7798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 2265 | SC | — |
| 225400000X | Rehabilitation Practitioner | 23765 | SC | Yes |

## Other

- **Enumeration date:** 03/17/2010
- **Last updated:** 02/10/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1083641914 | INDIVIDUAL NPI | SC |
| 01 | — | 1427030212 | INDIVIDUAL NPI | SC |