Individual
KATHRYN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
15 E FARIS RD, GREENVILLE, SC 29605-1729
(864) 640-6857
Mailing address
420 THE PKWY, SUITE D, GREER, SC 29650-5204
(864) 879-7757
(864) 879-4626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4163
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4163
SC STATE LICENSE
SC
Enumeration date
10/19/2016
Last updated
11/01/2019
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