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

Organization Physical Therapist · NPI 1265571558

Faithworks Pediatric Innervations, Inc is a Physical Therapist in Lake City, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

318 Moore St
Lake City, SC 29560-2551
Phone: (843) 394-9799
Fax: (843) 394-9899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4703 (SC)
Physical Therapy Assistant Taxonomy 225200000X · Licence 177 (SC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 1113 (SC)

Record details

NPI number1265571558
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Betty McKenzie — Owner · (843) 394-9799
NPI enumeratedFebruary 5, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address300 Thurston St, Lake City, SC 29560-2527

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