Individual
EMILY GRIESHABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
210 VILLAGE CENTER BLVD STE 200, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
(843) 353-3461
Mailing address
210 VILLAGE CENTER BLVD STE 140, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
(843) 353-3461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12168
TN
225100000X
Physical Therapist
Primary
CP048778T
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710448568
—
VA
05
—
Q060279
—
TN
Enumeration date
03/26/2019
Last updated
12/03/2025
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