Kenan Taylor Little, DPT | |
500 Old Greenville Hwy Ste 500-1, Clemson, SC 29631-1787 | |
(864) 722-6037 | |
(864) 722-6038 |
Full Name | Kenan Taylor Little |
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Gender | Female |
Speciality | Physical Therapist |
Location | 500 Old Greenville Hwy Ste 500-1, Clemson, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114783784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (South Carolina) | Primary |
Provider Name | Greenville Proaxis Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769 |
Mailing Address | Practice Location Address |
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Kenan Taylor Little, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Kenan Taylor Little, DPT 500 Old Greenville Hwy Ste 500-1, Clemson, SC 29631-1787 Ph: (864) 722-6037 |
Colton Chase Cantley, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 379 Old Greenville Hwy Ste 101, Clemson, SC 29631 Phone: 864-624-0120 | |
Mrs. Monica Hayes Gibson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Downs Loop, Clemson, SC 29631 Phone: 864-722-9059 | |
Kristen Heather Monzo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Forest Ln Ste A, Clemson, SC 29631 Phone: 864-654-2001 Fax: 800-305-7112 | |
Mr. Jonathan Michael Alexander, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Forest Ln, Suite A, Clemson, SC 29631 Phone: 864-722-0335 Fax: 864-233-7844 | |
Jackson Killian, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Forest Ln, Clemson, SC 29631 Phone: 864-654-2001 | |
Nina Mitchum Chitty, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1019 Tiger Blvd Ste 105, Clemson, SC 29631 Phone: 864-654-0431 Fax: 864-654-0799 | |
Shannon Edwards Galloway, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Chapman Hill Rd, Clemson, SC 29631 Phone: 864-653-4071 |