Healthcare Provider Details

I. General information

NPI: 1972560670
Provider Name (Legal Business Name): PALMETTO THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 04/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 WILLIAM HILTON PKWY
HILTON HEAD ISLAND SC
29928-3442
US

IV. Provider business mailing address

811 WILLIAM HILTON PKWY
HILTON HEAD ISLAND SC
29928-3442
US

V. Phone/Fax

Practice location:
  • Phone: 843-842-3222
  • Fax: 843-842-3202
Mailing address:
  • Phone: 843-842-3222
  • Fax: 843-842-3202

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: DR. NATHAN EDWARD DIXON
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: D.P.T.
Phone: 843-842-3222