Provider Demographics
NPI:1164891867
Name:THERX PHYSICAL THERAPY & PAIN MANAGEMENT
Entity Type:Organization
Organization Name:THERX PHYSICAL THERAPY & PAIN MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:MHS, DPT
Authorized Official - Phone:843-687-2406
Mailing Address - Street 1:116 OLD SAWMILL TRL
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-9336
Mailing Address - Country:US
Mailing Address - Phone:843-687-2406
Mailing Address - Fax:
Practice Address - Street 1:800 COLUMBIANA DR
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-7213
Practice Address - Country:US
Practice Address - Phone:843-687-2406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy