Healthcare Provider Details

I. General information

NPI: 1932121019
Provider Name (Legal Business Name): AARYN N MARIACHER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 03/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 WILLIAM POPE DR SUITE 3
BLUFFTON SC
29909-7549
US

IV. Provider business mailing address

10 WILLIAM POPE DR SUITE 3
BLUFFTON SC
29909-7549
US

V. Phone/Fax

Practice location:
  • Phone: 843-705-9440
  • Fax: 843-705-9445
Mailing address:
  • Phone: 843-705-9440
  • Fax: 843-705-9445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 60237353
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT013585
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6987
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPT018214
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: