Individual
JASON TALMADGE EMBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
108 MONTGOMERY DR, ANDERSON, SC 29621-3334
(864) 760-0504
(864) 760-0506
Mailing address
PO BOX 2225, EASLEY, SC 29641-2225
(864) 343-2650
(864) 343-2680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4445
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9429
MEDICARE GROUP PTAN
SC
Enumeration date
06/30/2006
Last updated
12/20/2010
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