Most Relevant Information
Provider Data
| NPI Number: | 1003268111 |
| Provider Name: | SCOTT SHERRILL PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 1077 |
Most Important Dates
| Enumeration Date: | 07/13/2016 |
| Last Updated: | 07/13/2016 |
Provider Practice Location
1317 EBENEZER RD
ROCK HILL
SC
297322336
Practice Location Phone/Fax
| Phone: | 8032078177 |
| Fax: |
Provider Mailing Location
1624 MAIN ST
COLUMBIA
SC
292012818
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |