| Organization Name: | CLEMSON SPORTS MEDICINE AND REHABILITATION |
| NPI Number: | 1093890170 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STUART HUNTER (PRESIDENT/OWNER/PT) |
| Mailing Address: | 306 Station 22 1/2 St Sullivans Island |
| State: | SC US |
| Postal Code: | 294829756 |
| Phone Number: | 8438830054 |
| Fax Number: | 8438830064 |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 04/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |