Provider Demographics
NPI:1629876024
Name:ACHIEVABILITIES
Entity type:Organization
Organization Name:ACHIEVABILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KAMALA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:843-260-7424
Mailing Address - Street 1:2109 WAVERLY WOODS DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6868
Mailing Address - Country:US
Mailing Address - Phone:843-260-7424
Mailing Address - Fax:
Practice Address - Street 1:2230 BABAR LN STE 5
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-1248
Practice Address - Country:US
Practice Address - Phone:843-624-1020
Practice Address - Fax:843-429-6747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty