Provider Demographics
NPI:1841848991
Name:HOLISTIC THERAPEUTIC SERVICES OF SC LLC
Entity type:Organization
Organization Name:HOLISTIC THERAPEUTIC SERVICES OF SC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MARTINS-SKOLNY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:607-377-1912
Mailing Address - Street 1:3810 MASTERS CIR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-8514
Mailing Address - Country:US
Mailing Address - Phone:607-377-1912
Mailing Address - Fax:
Practice Address - Street 1:3810 MASTERS CIR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-8514
Practice Address - Country:US
Practice Address - Phone:607-377-1912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy