Prs 9, Llc | |
2126 Highway 9 E Ste E3, Longs, SC 29568-5736 | |
(843) 491-0388 | |
(843) 491-0268 |
Full Name | Prs 9, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 2126 Highway 9 E Ste E3, Longs, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891329272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Brian P Kinmartin |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730137506 PECOS PAC ID: 6901894138 Enrollment ID: I20040507000046 |
Provider Name | Richard A Owens |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750331005 PECOS PAC ID: 9931108099 Enrollment ID: I20061219000142 |
Provider Name | Richard A Defalco |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578693131 PECOS PAC ID: 0345334876 Enrollment ID: I20111025000000 |
Provider Name | Jill F Phelan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760891881 PECOS PAC ID: 4385865161 Enrollment ID: I20141020001979 |
Provider Name | Lisa M Obrien |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558734517 PECOS PAC ID: 6305143975 Enrollment ID: I20160324002265 |
Provider Name | Karl Ehlers |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982052981 PECOS PAC ID: 3779868765 Enrollment ID: I20170313001790 |
Provider Name | Zachary Daniels |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144700444 PECOS PAC ID: 1658624549 Enrollment ID: I20181023001088 |
Provider Name | Samantha A Crisafulli |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528548948 PECOS PAC ID: 6901150150 Enrollment ID: I20181107001238 |
Provider Name | Brandon M Stanley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558820472 PECOS PAC ID: 4880921006 Enrollment ID: I20190812001224 |
Provider Name | Daniel J Staples |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033771357 PECOS PAC ID: 2961733282 Enrollment ID: I20191016003754 |
Provider Name | Taylor M Dawley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164142386 PECOS PAC ID: 9638545387 Enrollment ID: I20221020000969 |
Provider Name | Kayla Carlisle |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629782594 PECOS PAC ID: 7315310943 Enrollment ID: I20230302000675 |
Provider Name | Mackenzie G Thacker |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235994161 PECOS PAC ID: 2860832615 Enrollment ID: I20240426003402 |
Mailing Address | Practice Location Address |
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Prs 9, Llc Po Box 2397, Pawleys Island, SC 29585-2397 Ph: (843) 235-0200 | Prs 9, Llc 2126 Highway 9 E Ste E3, Longs, SC 29568-5736 Ph: (843) 491-0388 |