Johnna Revis, PTA
Johnna Revis, PTA is a Physical Disabilities Residential Treatment Facility in Gray Court, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.
- Licensed in
- SC
- In the registry since
- 2015
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
5768 Highway 14Gray Court, SC 29645-6764 Not confirmed with CMS for 11 years — call before visiting
Phone: (864) 872-2116
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Disabilities Residential Treatment Facility (primary) | Taxonomy 320700000X · Licence 1771 (SC) |
|---|
Record details
| NPI number | 1205202413 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PTA |
| Sole proprietor | Yes |
| NPI enumerated | August 12, 2015 |
| Last updated in NPPES | August 12, 2015 |