Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Mack, PT

Individual provider Pediatric Physical Therapist · NPI 1215184056

Kelly Mack, PT is a Pediatric Physical Therapist in Irmo, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

107 Holly Creek Dr
Irmo, SC 29063-8918 Not confirmed with CMS for 18 years — call before visiting
Phone: (803) 749-1625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 2278 (SC)

Record details

NPI number1215184056
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 23, 2008
Last updated in NPPESAugust 23, 2008

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