Healthcare Provider Details

I. General information

NPI: 1154403830
Provider Name (Legal Business Name): HEATHER BARWICK MAHARREY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 TREELAND DR STE E
LADSON SC
29456-3096
US

IV. Provider business mailing address

263 TREELAND DR STE E
LADSON SC
29456-3096
US

V. Phone/Fax

Practice location:
  • Phone: 843-471-1541
  • Fax: 888-418-8683
Mailing address:
  • Phone: 843-471-1541
  • Fax: 888-418-8683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3319
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: