Indigo Therapy Specialists, LLC

NPI #1194960872 in Murrells Inlet, South Carolina

Provider Information

NPI Number: 1194960872
Entity Type: Organization
Organization Name: Indigo Therapy Specialists, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 9, 2008
Last Updated: Jun 10, 2009

Practice Location

Address: 11931 PLAZA DR
City: Murrells Inlet
State: South Carolina
ZIP Code: 29576-9356
Phone: (843) 357-4039

Authorized Official

Name: MR. EDGAR J KLIXBULL, DPT, CSCS
Title: OWNER/DIRECTOR OF PHYSICAL THERAPY
Phone: (843) 357-4039

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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