Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KOCYFICA L ETHEREDGE
Active Sole ProprietorKOCYFICA L ETHEREDGE is a Physical Therapist Assistant healthcare provider located in PIEDMONT, South Carolina. NPI 1912593021 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · PIEDMONT, SC
Registration Details
- NPI Number
- 1912593021
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 14, 2020 (5.6762810749359 yrs)
- Last Updated
- Dec 14, 2020
- License
-
35430 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 WADMALAW DRPIEDMONT, SC, 296737785Browse SC providers · Browse ZIP 29673
- Phone
- 8647350878
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
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.