Provider Demographics
NPI:1669130175
Name:WOODS, KIERSTEN ADDY (DPT)
Entity type:Individual
Prefix:DR
First Name:KIERSTEN
Middle Name:ADDY
Last Name:WOODS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:KIERSTEN
Other - Middle Name:MIKEL
Other - Last Name:ADDY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:203 OLD CHAPIN RD UNIT 212
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-2083
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:203 OLD CHAPIN RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2017
Practice Address - Country:US
Practice Address - Phone:803-760-0088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-01
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11003225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist