OrganizationActive
Holy City Pediatric Therapy, LLC
NPI 1841861176 · Pediatric Physical Therapist · Mt Pleasant, SC
Provider details
- NPI number
- 1841861176
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Dustin Tolley, Owner(423) 388-8311
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
2103 Sewee Indian Ct
Mt Pleasant, SC 29466-8054
Phone: (423) 388-8311
Approximate (ZIP-level) locationGet directions
Mailing address
2103 Sewee Indian Ct
Mt Pleasant, SC 29466-8054
Registry dates
- Enumerated
- 2021-07-07
- Last updated
- 2021-07-23
- Certified
- 2021-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.