# PALMETTO RESTORATIVE THERAPY

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

## Provider details

- **NPI number:** 1972364016
- **Authorized official:** ANDREW TYLER (OWNER)
- **Authorized official phone:** (843) 345-2814

## Contact information

- **Practice address:** 247 CAMBER RD, HUGER, SC 29450-8525
- **Practice address phone:** (843) 345-2814
- **Mailing address:** 247 CAMBER RD, HUGER, SC 29450-8525
- **Mailing address phone:** (843) 345-2814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |

## Other

- **Enumeration date:** 01/17/2024
- **Last updated:** 01/17/2024