Healthcare Provider Details
I. General information
NPI: 1962398990
Provider Name (Legal Business Name): WILLIAM CATHEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
36 S MAIN ST STE B
TRAVELERS REST SC
29690-1872
US
IV. Provider business mailing address
2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE IL
60515-1211
US
V. Phone/Fax
- Phone: 864-660-8200
- Fax: 864-660-8204
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: