Provider Demographics
NPI:1447988159
Name:KOHLER, JAMES ERIC
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ERIC
Last Name:KOHLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1166 CAMP CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-8558
Mailing Address - Country:US
Mailing Address - Phone:803-804-0440
Mailing Address - Fax:888-673-5527
Practice Address - Street 1:1166 CAMP CREEK RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-8558
Practice Address - Country:US
Practice Address - Phone:803-804-0440
Practice Address - Fax:888-673-5527
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3722225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty