Provider Demographics
NPI:1255415543
Name:MEYERS, SVEN DAVID (PTA)
Entity type:Individual
Prefix:MR
First Name:SVEN
Middle Name:DAVID
Last Name:MEYERS
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 VALLEY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:SC
Mailing Address - Zip Code:29693-3150
Mailing Address - Country:US
Mailing Address - Phone:864-638-0860
Mailing Address - Fax:
Practice Address - Street 1:12023 N. RADIO STATION RD
Practice Address - Street 2:SUITE A
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-0931
Practice Address - Country:US
Practice Address - Phone:864-985-0770
Practice Address - Fax:864-985-1770
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1874225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant