Doctor Name: | TIMOTHY CLEMMONS |
NPI Number: | 1134382146 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT009320 |
Business Practice Address: | 6298 Veterans Pkwy Ste 5a Columbus, GA - 319096258 |
Business Phone Number: | 7063200927 |
Business Fax Number: | 7063218167 |
Mailing Address: | 6298 Veterans Pkwy, Ste 5a COLUMBUS |
State: | GA |
Postal Code: | 319096258 |
Phone Number: | 7063200927 |
Fax Number: | 7063218167 |
NPI Enumeration Date: | 07/09/2008 |
NPI Last Update Date: | 05/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT009320 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |