Individual
LEROY TART JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 N HIGHWAY 501, MARION, SC 29571-6122
(843) 245-3553
Mailing address
6500 N HIGHWAY 501, MARION, SC 29571-6122
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
SC
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
04/29/2026
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