SAMUEL JON HACKETT

WEST COLUMBIA, SC
NPI1366762122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  12290)
Additional Taxonomies225100000X Physical Therapist
(Licence: OR  6218)
2251X0800X Physical Therapist, Orthopedic
(Licence: ID  PT-2773)
Enumeration Date2010-06-03
Last Update Date2024-08-27
Business Address
Dr. SAMUEL JON HACKETT DPT
123 E MEDICAL LN
WEST COLUMBIA, SC 29169-4813
Phone number: 803-791-2397
Mailing Address
Dr. SAMUEL JON HACKETT DPT
123 E MEDICAL LN
WEST COLUMBIA, SC 29169-4813
Phone number: 803-791-2397