Organization · NPI-2
8th State Rehab & Wellness
Physical Therapist · Charleston, SC
NPI number1619781309
StatusActive
Last updated in NPPESJun 3, 2026
Details
- NPI
- 1619781309
- Entity type
- Organization (NPI-2)
- Legal business name
- 8th State Rehab & Wellness
- Organization subpart
- No
- Enumeration date
- Feb 4, 2025
- Certification date
- Jun 3, 2026
- Last updated
- Jun 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Other names
- Charleston Movement Co. - Physical Therapy (Doing Business As)
Practice location
1559 Sam Rittenberg BlvdCharleston, SC 29407-4248
Phone 843-353-0888 · Fax 843-954-0888
Mailing address
1559 Sam Rittenberg BlvdCharleston, SC 29407-4248
Phone 843-353-0888 · Fax 843-954-0888
Authorized official
Travis J Fahey
Owner
9734937529
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