SearchSouth Carolina225200000X

Shawn Kelly, PTA

NPI 1710385356 · on the registry since 2014

Practice

Address
1204 South Blvd
North Charleston, SC 29405
Phone
(843) 200-7806
Fax
(843) 200-7806

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-14

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