# PALMETTO NEUROMUSCULAR ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366564007
- **Authorized official:** MR. JON DAVID CANSLER LMT, NCTMB, M.A., CM (PRESIDENT)
- **Authorized official phone:** (803) 649-0599

## Contact information

- **Practice address:** 958 MILLBROOK AVE, SUITE ONE, AIKEN, SC 29803-0603
- **Practice address phone:** (803) 649-0599
- **Practice address fax:** (803) 502-1481
- **Mailing address:** 958 MILLBROOK AVE, SUITE ONE, AIKEN, SC 29803-0603
- **Mailing address phone:** (803) 649-0599
- **Mailing address fax:** (803) 502-1481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 4606 | SC | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | 4637 | SC | — |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 08/22/2020