OrganizationActive
Graceful Physical Therapy and Performance LLC
NPI 1396489423 · Physical Therapist · Indian Land, SC
Provider details
- NPI number
- 1396489423
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kristin Goldstein, Owner(704) 426-3454
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1232 Ansley Park Dr
Indian Land, SC 29707-7887
Phone: (704) 426-3454
Approximate (ZIP-level) locationGet directions
Mailing address
1232 Ansley Park Dr
Indian Land, SC 29707-7887
Registry dates
- Enumerated
- 2022-04-25
- Last updated
- 2022-04-25
- Certified
- 2022-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.