Organization
MIDLANDS PHYSICAL THERAPY AND WELLNESS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY WAYNE NICHOLS PT, DPT (PHYSICAL THERAPIST)
(803) 924-3581
Entity
Organization
Contact information
Practice address
115 PETTUS LN, NEWBERRY, SC 29108-7719
(803) 924-3581
(803) 276-9495
Mailing address
115 PETTUS LN, NEWBERRY, SC 29108-7719
(803) 924-3581
(803) 276-9495
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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