| Doctor Name: | KERRY ANN RAFFERTY |
| NPI Number: | 1205917994 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | |
| Business Practice Address: | 269 Terra Vista Dr Myrtle Beach, SC - 295887671 |
| Business Phone Number: | 6315123267 |
| Business Fax Number: | 8433530167 |
| Mailing Address: | 269 Terra Vista Dr, MYRTLE BEACH |
| State: | SC |
| Postal Code: | 295887671 |
| Phone Number: | 6315123267 |
| Fax Number: | 8433530167 |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 05/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |