Individual
KIMBERLY SHANAHAN HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3851 COMMERCIAL CENTER DR, LADSON, SC 29456-4146
(843) 314-5434
(888) 510-9156
Mailing address
3851 COMMERCIAL CENTER DR, LADSON, SC 29456-4146
(843) 314-5434
(888) 510-9156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7261
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH2737
—
SC
Enumeration date
03/12/2012
Last updated
08/03/2022
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