Whalio Doctors

NPI 1033488507

Kimberly Wayne Haywood, PTA

Practitioner Physical Therapy Assistant Greenville, SC

Practice location

Address
9 Maple Tree CT Suite a, Greenville, SC 29615-4070
Phone
(864) 286-8288
Fax
(864) 286-8289
Mailing address
10 Lake Ridge Dr, Greenville, SC 29611-6642

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2712 (SC)

Registry record

NPI
1033488507
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Dec 2011
Record last updated
29 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.