Organization
PAIN SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY S MASSEY PT (OWNER)
(803) 920-6350
Entity
Organization
Contact information
Practice address
223 STONERIDGE DRIVE, COLUMBIA, SC 29210-8009
(803) 296-5990
Mailing address
100 OLD CHEROKEE ROAD, SUITE F, PMB 310, LEXINGTON, SC 29072-7959
(803) 296-5990
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1095
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1095
LICENSE # - KIM MASSEY
SC
01
—
1915
LICENSE # - DEBRA IACONO
SC
01
—
958
LICENSE # - RUSSELL MASSE
SC
Enumeration date
01/05/2007
Last updated
10/19/2007
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