Healthcare Provider Details

I. General information

NPI: 1720982549
Provider Name (Legal Business Name): BOS PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 MEMORY LN
ROCK HILL SC
29732-8347
US

IV. Provider business mailing address

2764 PLEASANT RD STE A
FORT MILL SC
29708-7214
US

V. Phone/Fax

Practice location:
  • Phone: 803-336-1882
  • Fax:
Mailing address:
  • Phone: 803-336-1882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. TEMELIA KIRK
Title or Position: DPT
Credential:
Phone: 803-336-1882