Provider Demographics
NPI:1447806518
Name:AMP PHYSICAL THERAPY & PERFORMANCE
Entity Type:Organization
Organization Name:AMP PHYSICAL THERAPY & PERFORMANCE
Other - Org Name:TURNER SPORTS PERFORMANCE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:803-389-0239
Mailing Address - Street 1:990 TIGER BLVD
Mailing Address - Street 2:
Mailing Address - City:CLEMSON
Mailing Address - State:SC
Mailing Address - Zip Code:29631-1418
Mailing Address - Country:US
Mailing Address - Phone:803-389-0239
Mailing Address - Fax:864-761-1133
Practice Address - Street 1:407 LONG FOREST CIR
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29625-1103
Practice Address - Country:US
Practice Address - Phone:803-389-0239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy