MEDICARE: HOPE SEYLER PT, DPT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer		SC
2	2255A2300X	Athletic Trainer
3	225100000X	Physical Therapist	11737	SC

General Provider Information

NPI Number	:	1396113361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOPE SEYLER PT, DPT, ATC

Provider Business Mailing Address
First Line	:	2468 MELVILLE RD
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-8905
Country	:	US
Telephone Number	:	843-860-1765
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 LIBERTY MIDTOWN DR APT 420
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-4983
Country	:	US
Telephone Number	:	843-936-2801
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2015
Last Update Date	:	02/21/2023

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