Provider Demographics
NPI:1356729933
Name:TURNER, CARMEL (PT, DPT, OMT-C)
Entity type:Individual
Prefix:DR
First Name:CARMEL
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:PT, DPT, OMT-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 CAEDMONS WALK
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-7774
Mailing Address - Country:US
Mailing Address - Phone:803-407-9406
Mailing Address - Fax:
Practice Address - Street 1:TAYLOR AT MARION ST
Practice Address - Street 2:PHYSICAL THERAPY OUTPATIENT
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29220-0001
Practice Address - Country:US
Practice Address - Phone:803-296-5486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC51092251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCTH3434Medicaid
SCQ529139391Medicare PIN