Lavida Noella Audain, PT
Individual provider Active NPI Physical Therapist · Anderson, SC
NPI 1447584099 · NPPES record last updated Sep 30, 2009
Key facts
- NPI
- 1447584099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5021 (SC)
- Practice address
- 311 Simpson Rd
Anderson, SC 29621-2157 - Phone
- (864) 261-3875
- NPI assigned
- Sep 30, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5021 | SC | Yes |
| Geriatric Physical Therapist | 2251G0304X | 5021 | SC |
Addresses
Primary practice location
311 Simpson Rd
Anderson, SC 29621-2157
Mailing address
311 Simpson Rd
Anderson, SC 29621-2157
Phone (864) 261-3875
Other providers in Anderson, SC
- Christian Michael Askew
- Assurance Healthcare Services LLC
- Hannah Atkins
- Bobby Jean Atkinson
- Atlas Home Care, LLC
- James A. Austin
- Avanti Physical Therapy & Wellness
- Rogene Avery
- Daniel Babcock
- Belinda L. Bacher
All providers in Anderson, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.