NPI 1073434791

Kristin Lea Gordon, PTA

Practitioner Physical Therapy Assistant Myrtle Beach, SC

Practice location

Address: 5028 Billy K Trl, Myrtle Beach, SC 29579-4120
Phone: (843) 457-9427

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2327 (SC)

Other Physical Therapy Assistant providers in South Carolina →

Registry record

NPI: 1073434791
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jul 2026
Record last updated: 21 Jul 2026

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.