Healthcare Provider Details

I. General information

NPI: 1982174959
Provider Name (Legal Business Name): CAROLYN LOUISE BARRETT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2018
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2127 BOUNDARY ST STE 18B
BEAUFORT SC
29902-3874
US

IV. Provider business mailing address

20 CASSIDY DR UNIT 102
BLUFFTON SC
29910-4151
US

V. Phone/Fax

Practice location:
  • Phone: 843-524-4778
  • Fax: 843-524-4779
Mailing address:
  • Phone: 843-278-2161
  • Fax: 843-486-2411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9408
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: