Organization
MYOMUV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN KEITH DPT (MANAGER/OWNER)
(865) 236-0863
Entity
Organization
Contact information
Practice address
928 S MAIN ST, GREENVILLE, SC 29601-3333
(865) 236-0863
Mailing address
320 W BUTLER RD, MAULDIN, SC 29662-2538
(864) 280-7272
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
8497
SC
Other
Enumeration date
04/12/2018
Last updated
08/17/2020
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