Doctor Name: | JARED LETHCO |
NPI Number: | 1033521596 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 7380 |
Business Practice Address: | 2695 Elms Plantation Blvd Ste. C North Charleston, SC - 294067132 |
Business Phone Number: | 8439744097 |
Business Fax Number: | 8439744125 |
Mailing Address: | 2695 Elms Plantation Blvd, Ste. C NORTH CHARLESTON |
State: | SC |
Postal Code: | 294067132 |
Phone Number: | 8439744097 |
Fax Number: | 8439744125 |
NPI Enumeration Date: | 06/02/2014 |
NPI Last Update Date: | 06/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7380 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |