Individual
MRS. KATIE LEIGH CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3300 POINSETT HWY, GREENVILLE, SC 29613-0002
(864) 294-2130
Mailing address
504 GRAY FOX SQ, TAYLORS, SC 29687-4075
(864) 546-1170
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2074
SC
Other
Enumeration date
04/24/2007
Last updated
06/27/2011
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