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Contact Information

GYROTONIC VISTA
911 LADY ST
SUITE H
COLUMBIA, SC29201-3105
 Phone: 803-758-5962
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist

225500000X
 

Athletic Trainer

2255A2300X
 

Dance Therapist

225600000X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for GYROTONIC VISTA

NPI # 1629367693
LBN Legal business name GYROTONIC VISTA
Authorized official CHARLES PULLIAM - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/30/2011
Last updated 03/30/2011 - About 15 years ago
Identifiers
SC License # 0724727
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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