Individual
AUSTIN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
104 MAULDIN RD STE B, GREENVILLE, SC 29605-1221
(864) 982-7895
Mailing address
3 CAVENDISH CLOSE, TAYLORS, SC 29687-4029
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
11904
SC
2251S0007X
Sports Physical Therapist
11904
SC
2251X0800X
Orthopedic Physical Therapist
Primary
11904
SC
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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