Organization
CLEMSON ENTERPRISE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN ANDREW CLEMSON PT (OWNER)
(423) 212-5966
Entity
Organization
Contact information
Practice address
444 CLINCHFIELD ST STE 102, KINGSPORT, TN 37660-3859
(678) 978-2395
Mailing address
444 CLINCHFIELD ST STE 102, KINGSPORT, TN 37660-3859
(678) 978-2395
(423) 212-7046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/24/2017
Last updated
08/12/2019
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