Most Relevant Information
Provider Data
| NPI Number: | 1003679788 |
| Provider Name: | COLTON CHASE CANTLEY DPT, PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 12248 |
Most Important Dates
| Enumeration Date: | 02/05/2024 |
| Last Updated: | 03/15/2024 |
Provider Practice Location
379 OLD GREENVILLE HWY STE 101
CLEMSON
SC
296313156
Practice Location Phone/Fax
| Phone: | 8646240120 |
| Fax: |
Provider Mailing Location
203 TULIP TREE CT
EASLEY
SC
296427600
Provider Mailing Phone/Fax
| Phone: | 7405255240 |
| Fax: |