Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MACK, PT
Active Sole ProprietorKELLY MACK, PT is a Pediatric Occupational Therapy healthcare provider located in IRMO, South Carolina. NPI 1215184056 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapy · IRMO, SC
Registration Details
- NPI Number
- 1215184056
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2008 (17.93877503806 yrs)
- Last Updated
- Aug 23, 2008
- License
-
2278 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
107 HOLLY CREEK DRIRMO, SC, 290638918Browse SC providers · Browse ZIP 29063
- Phone
- 8037491625
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
Other Pediatric Occupational Therapy Providers in IRMO, SC
| Name | Credential | NPI |
|---|---|---|
| MRS. JANET WOOD BARNES | PT | 1881032548 |
| STEPHEN BENDZIEWICZ | DPT, PT | 1114559192 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.