| Clemson Enterprise Pllc | |
|
444 Clinchfield St Ste 102, Kingsport, TN 37660-3859 | |
| (678) 978-2395 | |
| Not Available |
| Full Name | Clemson Enterprise Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 444 Clinchfield St Ste 102, Kingsport, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265952881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Matthew William Clemson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407151004 PECOS PAC ID: 5092996900 Enrollment ID: I20110225000382 |
| Provider Name | Nathan Clemson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639414196 PECOS PAC ID: 3678726049 Enrollment ID: I20130115000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Clemson Enterprise Pllc 444 Clinchfield St Ste 102, Kingsport, TN 37660-3859 Ph: (678) 978-2395 | Clemson Enterprise Pllc 444 Clinchfield St Ste 102, Kingsport, TN 37660-3859 Ph: (678) 978-2395 |
Mrs. Allene Proctor Heaton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 W Stone Dr, Suite 200, Kingsport, TN 37660 Phone: 423-224-5751 Fax: 423-224-5776 | |
Makaylah Darnell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Netherland Ln, Kingsport, TN 37660 Phone: 423-245-0360 | |
Gilgia Prumbs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2408 Fort Henry Dr, Kingsport, TN 37664 Phone: 423-246-7272 Fax: 423-246-2803 | |
Dr. Emily Kristina Stubblefield, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Cassell Drive, Kingsport, TN 37660 Phone: 423-246-7240 | |
Advanced Therapy Of Kingsport Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 E Stone Dr Ste 3, Kingsport, TN 37660 Phone: 423-230-6323 | |
Mary Rebecca Mooney, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 W Stone Dr, Kingsport, TN 37660 Phone: 423-224-5751 | |
Sarah Elizabeth Caldwell, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 W Stone Dr, Suite 200, Kingsport, TN 37660 Phone: 423-224-2059 |