Provider Demographics
NPI:1629659586
Name:PALMETTO MOTION PC
Entity Type:Organization
Organization Name:PALMETTO MOTION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/PRACTICE SITE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PNIEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-474-4534
Mailing Address - Street 1:222 PARK AVE SE
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-4506
Mailing Address - Country:US
Mailing Address - Phone:803-474-4534
Mailing Address - Fax:
Practice Address - Street 1:222 PARK AVE SE
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-4506
Practice Address - Country:US
Practice Address - Phone:803-474-4534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy