Healthcare Provider Details

I. General information

NPI: 1689653594
Provider Name (Legal Business Name): PHYSICAL THERAPY SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 03/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1344 N CENTER ST SUITE B
HICKORY NC
28601-2796
US

IV. Provider business mailing address

1344 N CENTER ST SUITE B
HICKORY NC
28601-2796
US

V. Phone/Fax

Practice location:
  • Phone: 828-322-7007
  • Fax: 828-327-6006
Mailing address:
  • Phone: 828-322-7007
  • Fax: 828-327-6006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. RACHEL PASCO
Title or Position: OFFICE MANAGER
Credential:
Phone: 828-322-7007