Healthcare Provider Details
I. General information
NPI: 1184013526
Provider Name (Legal Business Name): RESULTS RESOURCE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/22/2015
Last Update Date: 01/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2025 EBENEZER RD SUITE E
ROCK HILL SC
29732-1062
US
IV. Provider business mailing address
2025 EBENEZER RD SUITE E
ROCK HILL SC
29732-1062
US
V. Phone/Fax
- Phone: 803-746-7044
- Fax:
- Phone: 803-746-7044
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2255A2300X |
| Taxonomy | Athletic Trainer |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XP0019X |
| Taxonomy | Physical Rehabilitation Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 226300000X |
| Taxonomy | Kinesiotherapist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TARA
D
COOK
Title or Position: OWNER
Credential: LCNT, LMBT
Phone: 803-746-7044