Healthcare Provider Details

I. General information

NPI: 1215939574
Provider Name (Legal Business Name): SCORE SPORTSMEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MARSHLAND RD
HILTON HEAD ISLAND SC
29926-2305
US

IV. Provider business mailing address

2 MARSHLAND RD
HILTON HEAD ISLAND SC
29926-2305
US

V. Phone/Fax

Practice location:
  • Phone: 843-682-4325
  • Fax:
Mailing address:
  • Phone: 843-682-4325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. JODI A KREPFLE
Title or Position: OWNER, PHYSICAL THERAPIST
Credential: P.T.
Phone: 843-682-4325