Individual
JACOB CAGNEY AMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
501 FOREST LN, SUITE A, CLEMSON, SC 29631-2621
(864) 654-2001
(800) 305-7112
Mailing address
501 FOREST LN, SUITE A, CLEMSON, SC 29631-2621
(864) 654-2001
(800) 305-7112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7742
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH2957
—
SC
Enumeration date
06/10/2015
Last updated
07/27/2016
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