Healthcare Provider Details
I. General information
NPI: 1477469039
Provider Name (Legal Business Name): AVANTI PHYSICAL THERAPY & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
168 YELLOW PINE DR
ANDERSON SC
29626-6666
US
IV. Provider business mailing address
168 YELLOW PINE DR
ANDERSON SC
29626-6666
US
V. Phone/Fax
- Phone: 706-473-9686
- Fax:
- Phone: 706-473-9686
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHELSI
GERNAT
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: PT, DPT
Phone: 706-473-9686