Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessada Kaniknunt

Individual provider Physical Therapist · NPI 1174291314

Jessada Kaniknunt is a Physical Therapist in Fort Mill, South Carolina. Licensed in South Carolina. Registered with an NPI since 2021.

Licensed in
SC
In the registry since
2021

Practice location Address checks out

3041 Drewsky Ln Unit 101
Fort Mill, SC 29715-0106
Phone: (803) 370-5117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2712 (SC)

Record details

NPI number1174291314
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 2, 2021
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021

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