Healthcare Provider Details

I. General information

NPI: 1487647251
Provider Name (Legal Business Name): LENOIR PHYSICAL THERAPY AND SPORTS INJURY REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 MCLEAN DR SW
LENOIR NC
28645-6247
US

IV. Provider business mailing address

PO BOX 2757
LENOIR NC
28645-2757
US

V. Phone/Fax

Practice location:
  • Phone: 828-758-5238
  • Fax: 828-758-1074
Mailing address:
  • Phone: 828-758-5238
  • Fax: 828-758-1074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number7268
License Number StateNC

VIII. Authorized Official

Name: MS. STEPHANIE L ARNETT
Title or Position: OFFICE MANAGER
Credential:
Phone: 828-758-5238