Individual
MARY ANN KETTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 S PENDLETON ST, SUITE B, EASLEY, SC 29640-3047
(864) 855-7030
(864) 855-7019
Mailing address
227 S PENDLETON ST, SUITE B, EASLEY, SC 29640-3047
(864) 855-7030
(864) 855-7019
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4760
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1654
—
SC
Enumeration date
05/16/2006
Last updated
05/12/2020
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