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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 5 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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