Healthcare Provider Details

I. General information

NPI: 1356887582
Provider Name (Legal Business Name): LYDIA ROSE AKINS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2017
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 SPRINGDALE DR STE 10
CAMDEN SC
29020-5001
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 803-272-0518
  • Fax:
Mailing address:
  • Phone: 423-238-7217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5555
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: