Provider Demographics
NPI:1154895498
Name:POWERS, JENNIFER HARPER (DPT)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:HARPER
Last Name:POWERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:FERRELL
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:2113 ADAMS GROVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-6957
Mailing Address - Country:US
Mailing Address - Phone:803-767-4832
Mailing Address - Fax:803-849-1522
Practice Address - Street 1:2113 ADAMS GROVE
Practice Address - Street 2:SUITE 201
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6957
Practice Address - Country:US
Practice Address - Phone:803-767-4832
Practice Address - Fax:803-849-1522
Is Sole Proprietor?:No
Enumeration Date:2019-01-21
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCPT.9474225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist