Provider Demographics
NPI:1003161696
Name:TORRES-MCGEHEE, TONI MARIE (PHD, ATC)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:MARIE
Last Name:TORRES-MCGEHEE
Suffix:
Gender:F
Credentials:PHD, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 WHEAT ST
Mailing Address - Street 2:BLATT PE CENTER 218
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29208
Mailing Address - Country:US
Mailing Address - Phone:803-777-0636
Mailing Address - Fax:
Practice Address - Street 1:1300 WHEAT ST
Practice Address - Street 2:BLATT PE CENTER 218
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29208
Practice Address - Country:US
Practice Address - Phone:803-777-0636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8212255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer