Individual
MICHAEL BRETT SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
222 E MEDICAL LN STE 100&200, WEST COLUMBIA, SC 29169-4847
(803) 935-8410
(803) 936-7816
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 255-0266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5315
SC
Other
Enumeration date
01/29/2013
Last updated
12/11/2020
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