Provider Demographics
NPI:1043569593
Name:CUENIN, BENJAMIN GREGORY
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:GREGORY
Last Name:CUENIN
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 1:3 WOODHAVEN WAY
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29642-9030
Mailing Address - Country:US
Mailing Address - Phone:864-210-9625
Mailing Address - Fax:
Practice Address - Street 1:3611 HIGHWAY 153
Practice Address - Street 2:
Practice Address - City:POWDERSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29611-7516
Practice Address - Country:US
Practice Address - Phone:964-210-9625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8080225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist