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NPI Code Detail

MEDICARE: JASMINE N MCCLENDON DPT, PT

MEDICARE:   JASMINE N MCCLENDON  DPT, PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist12734SC

General Provider Information

NPI Number : 1275097735
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE N MCCLENDON DPT, PT
Provider Business Mailing Address
First Line : 141 ATRIUM WAY
Second Line :
City : COLUMBIA
State : SC
Zip : 29223-6301
Country : US
Telephone Number : 803-957-0404
Fax Number : 803-957-0404
Provider Business Practice Location Address
First Line : 7800 RIVERS AVE STE 1240
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-4067
Country : US
Telephone Number : 843-277-0710
Fax Number : 843-573-7412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2019
Last Update Date : 02/11/2025

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Directions to “ JASMINE N MCCLENDON DPT, PT” Practice Location

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