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

Mitchell Graham Outlaw

Individual provider Pediatric Physical Therapist · NPI 1396491965

Mitchell Graham Outlaw is a Pediatric Physical Therapist in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2022.

Licensed in
SC
In the registry since
2022
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Practice location Address checks out

3400 Anderson Rd
Greenville, SC 29611-7651
Phone: (864) 295-9890
Fax: (864) 295-9894
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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 11153 (SC)

Record details

NPI number1396491965
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2022
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022

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