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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHERN LAKES THERAPY LLC

Active Organization

SOUTHERN LAKES THERAPY LLC is a Physical Therapy Assistant organization located in MANNING, South Carolina. NPI 1700212420 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MANNING, SC

Registration Details

NPI Number
1700212420
Provider Type
Organization
NPI Issued
Sep 26, 2013 (12.883040421524 yrs)
Last Updated
Aug 12, 2025
Licenses
4166 (SC)
1236 (SC)
5485 (SC)

Practice Information

Address
297 W BOYCE ST
MANNING, SC, 29102
Browse SC providers · Browse ZIP 29102
Phone
8034339001
Fax
8034339001
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Occupational Therapist
Additional Specialty
Occupational Therapist
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Organizations in MANNING, SC

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.