Provider Demographics
NPI:1588021273
Name:SAVAGE-SKINNER, CAITLIN SIOBHAN (PT)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:SIOBHAN
Last Name:SAVAGE-SKINNER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:SIOBHAN
Other - Last Name:SAVAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 1844
Mailing Address - Street 2:
Mailing Address - City:CLEMSON
Mailing Address - State:SC
Mailing Address - Zip Code:29633-1844
Mailing Address - Country:US
Mailing Address - Phone:864-482-0064
Mailing Address - Fax:864-482-0081
Practice Address - Street 1:1941 SAVAGE RD STE 300A
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-4790
Practice Address - Country:US
Practice Address - Phone:843-402-1495
Practice Address - Fax:843-402-1285
Is Sole Proprietor?:No
Enumeration Date:2016-01-26
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7384225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist