Individual ProviderKimberly SpacePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address514 Saint James Ave Unit G, Goose Creek, SC 29445(843) 642-8660(615) 373-1350PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Space does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1285946392Provider TypeIndividualFull NameSpace, KimberlyCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date7/6/2010Last Updated10/28/2019Contact InformationPractice LocationPractice Address514 Saint James Ave Unit G, Goose Creek, SC 29445Phone(843) 642-8660FaxUnlisted FaxMailing LocationMailing Address800 Crescent Centre Dr Ste 300, Franklin, TN 37067-7285Phone(615) 373-1350Fax(615) 221-9054Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense6019South Carolina