Healthcare Provider Details

I. General information

NPI: 1912812561
Provider Name (Legal Business Name): CHLOE RASE DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 SALUDA SPRINGS RD
LEXINGTON SC
29072-6667
US

IV. Provider business mailing address

141 ATRIUM WAY
COLUMBIA SC
29223-6301
US

V. Phone/Fax

Practice location:
  • Phone: 803-359-0505
  • Fax: 803-359-2206
Mailing address:
  • Phone: 803-359-0505
  • Fax: 803-359-2206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT022557
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP060974T
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: