Provider Demographics
NPI:1114321965
Name:JEMMING, TERESA MARIE (MSPT)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:MARIE
Last Name:JEMMING
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 BUTTERWORTH CIR
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29154-9475
Mailing Address - Country:US
Mailing Address - Phone:803-494-5663
Mailing Address - Fax:
Practice Address - Street 1:3300 BUTTERWORTH CIR
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29154-9475
Practice Address - Country:US
Practice Address - Phone:803-494-5663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC50412251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics