Individual
AMY ELIZABETH BANGHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
811 W MAIN ST STE 205, LEXINGTON, SC 29072-2500
(803) 358-6115
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11291
SC
2255A2300X
Athletic Trainer
2000031836
SC
2255A2300X
Athletic Trainer
—
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2015
Last updated
01/16/2024
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