Organization Name: | PRS 5, LLC |
NPI Number: | 1184027617 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN PATRICK KINMARTIN (PARTNER) |
Mailing Address: | 2676 Church St Unit D-2 Conway |
State: | SC US |
Postal Code: | 295264471 |
Phone Number: | 8437333031 |
Fax Number: | 8432790189 |
NPI Enumeration Date: | 09/29/2014 |
NPI Last Update Date: | 02/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3690 |
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 |