Individual
KACIE T. TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1369
Mailing address
2 PALORO PL, SIMPSONVILLE, SC 29681-4836
(864) 331-1369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5308
SC
Other
Enumeration date
12/19/2006
Last updated
07/27/2007
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