# CLEMSON SPORTS MEDICINE AND REHABILITATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLEMSON SPORTS MEDICINE AND REHABILITATION, INC
- **Other names:** Sports Plus
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689844557
- **Legal business name:** CLEMSON SPORTS MEDICINE AND REHABILITATION, INC
- **Authorized official:** DEBBIE BAXTER (CREDENTIALING)
- **Authorized official phone:** (864) 482-0064

## Contact information

- **Practice address:** 800 COLUMBIANA DR, SUITE 50, IRMO, SC 29063-7213
- **Practice address phone:** (803) 732-9294
- **Practice address fax:** (803) 732-9295
- **Mailing address:** PO BOX 1844, CLEMSON, SC 29633-1844
- **Mailing address phone:** (864) 482-0064
- **Mailing address fax:** (864) 482-0081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2008
- **Last updated:** 12/20/2011