Healthcare Provider Details

I. General information

NPI: 1649823931
Provider Name (Legal Business Name): HBS PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2019
Last Update Date: 07/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8936 N POINTE EXECUTIVE PARK DR STE 195
HUNTERSVILLE NC
28078-4809
US

IV. Provider business mailing address

1454 GENTRY MEMORIAL HWY
EASLEY SC
29640-6940
US

V. Phone/Fax

Practice location:
  • Phone: 704-237-4304
  • Fax:
Mailing address:
  • Phone: 864-644-2700
  • Fax: 864-644-2709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: HEIDI BETZ SMITH
Title or Position: PRESIDENT
Credential:
Phone: 650-515-9830