Healthcare Provider Details

I. General information

NPI: 1710806427
Provider Name (Legal Business Name): CHLOE ELIZABETH KOOY PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 SPORTSMAN ISLAND DR STE E
CHARLESTON SC
29492-8524
US

IV. Provider business mailing address

2225 ASHLEY RIVER RD APT 432
CHARLESTON SC
29414-4785
US

V. Phone/Fax

Practice location:
  • Phone: 843-696-2174
  • Fax:
Mailing address:
  • Phone: 513-417-4016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number13394
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: