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

MS. Tiffany Renee Godbolt, PTA

Individual provider Physical Therapy Assistant · NPI 1952747107

MS. Tiffany Renee Godbolt, PTA is a Physical Therapy Assistant in Lake City, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2013
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

318 E Main St
Lake City, SC 29560-2116
Phone: (843) 374-3353
Fax: (843) 374-7245
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1980 (SC)

Record details

NPI number1952747107
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 15, 2013
Last updated in NPPESJune 3, 2013

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