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

Jennie Ellis Haithcock, DPT

Individual provider Physical Therapist · NPI 1891013389

Jennie Ellis Haithcock, DPT is a Physical Therapist in Summerville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2010.

Licensed in
SC
In the registry since
2010
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

205 Midland Pkwy
Summerville, SC 29485-8122
Phone: (843) 875-7163
Fax: (843) 875-7169
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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 5762 (SC)

Record details

NPI number1891013389
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 10, 2010
Last updated in NPPESMay 10, 2010

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