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Kelly Mack, PT

NPI 1215184056 · on the registry since 2008 · sole proprietor

Practice

Address
107 Holly Creek Dr
Irmo, SC 29063
Phone
(803) 749-1625

Registry record

Primary taxonomy
2251P0200X
2251P0200X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina