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EAST COOPER WELLNESS NPI 1255747283


NPI Information

NPI: 1255747283
Provider Name: EAST COOPER WELLNESS

Doing Business As: EAST COOPER WELLNESS

Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization
Address:
1965 RIVIERA DR
MT PLEASANT, SC
ZIP 29464
Phone: (843) 571-3100
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EAST COOPER WELLNESS is a rehabilitation practitioner in Mt Pleasant, SC. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. EAST COOPER WELLNESS NPI is 1255747283. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As East Cooper Wellness.

The provider's business location address is:

1965 RIVIERA DR
MT PLEASANT, SC
ZIP 29464-469
Phone: (843) 571-3100
Fax: (843) 766-7798

The provider's authorized official is Karen Luckie .
The authorized official title is Office Manager and has the following contact phone number (843) 571-3100.

The enumeration date for this NPI number is 7/10/2014 and was last updated on 9/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225400000XRehabilitation Practitioner23765SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11962726117OTHERSOUTH CAROLINANPI FOR WEST ASHLEY WELLNESS & REHABILITATION, LLC
2U711710282MEDICARE UPINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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