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

Southern Lakes Therapy LLC

Organization Physical Therapist · NPI 1700212420

Southern Lakes Therapy LLC is a Physical Therapist in Manning, South Carolina. Licensed in South Carolina. Registered with an NPI since 2013.

Licensed in
SC
In the registry since
2013
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

297 W Boyce St
Manning, SC 29102
Phone: (803) 433-9001
Fax: (803) 433-9001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5485 (SC)
Physical Therapist Taxonomy 225100000X · Licence 4166 (SC)
Physical Therapy Assistant Taxonomy 225200000X · Licence 1236 (SC)
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1700212420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Goff — Coowner · (803) 433-9001
NPI enumeratedSeptember 26, 2013
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address297 W Boyce St, Manning, SC 29102-3004

Other providers in Manning