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

Kelly Mack, PT

Individual provider Pediatric Physical Therapist · NPI 1215184056

Kelly Mack, PT is a Pediatric Physical Therapist in Irmo, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

107 Holly Creek Dr
Irmo, SC 29063-8918
Phone: (803) 749-1625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 2278 (SC)

Record details

NPI number1215184056
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 23, 2008
Last updated in NPPESAugust 23, 2008
Mailing address107 Holly Creek Dr, Irmo, SC 29063-8918

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