Provider Demographics
NPI:1215397245
Name:PARMELEE, COLLEEN BYERS (DPT)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:BYERS
Last Name:PARMELEE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 MOONLIGHT DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-8052
Mailing Address - Country:US
Mailing Address - Phone:912-269-2236
Mailing Address - Fax:
Practice Address - Street 1:3225 MOONLIGHT DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-8052
Practice Address - Country:US
Practice Address - Phone:912-269-2236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8049225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist