SearchSouth CarolinaPhysical Therapist

Jessada Kaniknunt

NPI 1174291314 · on the registry since 2021

Practice

Address
3041 Drewsky Ln Unit 101
Fort Mill, SC 29715
Phone
(803) 370-5117
Clinicians at this address
2

Registry record

Primary taxonomy
Physical Therapist
225100000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina