Kayla McIntire, DPT

Individual provider Active NPI Physical Therapist · Saint George, SC

NPI 1447825872 · NPPES record last updated May 27, 2021

Key facts

NPI
1447825872
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
10702 (SC)
Practice address
5502 Memorial Blvd Unit 2
Saint George, SC 29477-2286
Phone
(843) 638-5122
Fax
(843) 638-5126
NPI assigned
May 27, 2021
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)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10702 SC Yes

Addresses

Primary practice location

5502 Memorial Blvd Unit 2
Saint George, SC 29477-2286

Mailing address

5502 Memorial Blvd Unit 2
Saint George, SC 29477-2286
Phone (843) 638-5122

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address contact@renewalrc.com Direct

Other providers in Saint George, SC

All providers in Saint George, SC · Physical Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.