Wise, Keyona Tyese
Wise, Keyona Tyese is an sole proprietor health care provider with primary practice located at 108 Pine Ridge Dr , Bluffton SC 29910-6815. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Wise, Keyona Tyese can be contacted via phone (843) 338-8644.Contact Information
Primary practice address
108 Pine Ridge Dr
Bluffton SC 29910-6815
Phone: (843) 338-8644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MAS5571 | South Carolina |
Profile Details
| NPI number | 1275130676 |
|---|---|
| LBN Legal business name | Wise, Keyona Tyese |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 8th, 2020 |
| Last updated | Oct 8th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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