KEYONA TYESE WISE (NPI# 1275130676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275130676 |
| Entity Type | Individual |
| Full Name | KEYONA TYESE WISE |
| Practice Address |
108 Pine Ridge Dr Bluffton SC 29910-6815 |
| Mailing Address |
29 Brown Rd Yemassee SC 29945-7800 |
| Practice Telephone | 8433388644 |
| Mailing Telephone | 8433388644 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MAS5571 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
108 PINE RIDGE DR |
| City | BLUFFTON |
| State | SC |
| Zip Code | 29910-6815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912444 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2501 May River Crossing, Bluffton, SC 29910 | 2020-11-03 |
| 1447873815 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 4812 Bluffton Parkway, Bluffton, SC 29910 | 2020-05-20 |
| 1831682327 | Tattnall Hospital Company LLC | Occupational Therapist | 8201 Pinellas Dr, Bluffton, SC 29910 | 2018-06-11 |
| 1437647070 | Health Performance Systems LLC | Massage Therapist | 20 Towne Dr Ste 102, Bluffton, SC 29910 | 2018-04-30 |
| 1659880540 | Jessica Partain | Assistant Behavior Analyst | 254 Red Cedar St Ste 11, Bluffton, SC 29910 | 2017-09-24 |
| 1760901177 | Thomas Ross Miller | Specialist/Technologist | 7 Independence Place, Bluffton, SC 29910 | 2017-09-18 |
| 1982124400 | Caitlin Diane Harvey | Behavioral Analyst | 4 Oliver Ct Ste 105, Bluffton, SC 29910 | 2017-06-26 |
| 1770011041 | Michael Ross Reeves | Physical Therapist | 38 Sheridan Park Cir Ste C, Bluffton, SC 29910 | 2017-05-31 |
| 1982141750 | Jebediah S. Christy, D.d.s. - Blufton, Pllc | Dentist | 1135 Fording Island Rd, Bluffton, SC 29910 | 2017-01-31 |
| 1225589377 | Kathryn Hope | Occupational Therapist | 31 Innovation Dr Ste 100, Bluffton, SC 29910 | 2016-10-24 |
| Find all providers in zip 29910 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962046748 | Leiah Roxann Castillo | Massage Therapist | 1019 Fording Island Rd Ste 102g, Bluffton, SC 29910-7512 | 2019-11-04 |
| 1437647070 | Health Performance Systems LLC | Massage Therapist | 20 Towne Dr Ste 102, Bluffton, SC 29910 | 2018-04-30 |
| 1366946774 | Matthew J Williams | Massage Therapist | 142 E Jefferson St, Bluffton, OH 45817-1330 | 2018-03-20 |
| 1366810137 | Norma A Short | Massage Therapist | 2 Sea Island Dr, Bluffton, SC 29910-6138 | 2015-09-09 |
| 1629462247 | Deiyonna Shandrika Speaks | Massage Therapist | 14 Westubury Parkway Suite 102, Bluffton, SC 29910-0000 | 2015-03-20 |
| 1417384942 | Julie A Edwards | Massage Therapist | 30 Martingale W, Bluffton, SC 29910-4707 | 2013-09-30 |
| 1487963385 | Dyanne Gregg | Massage Therapist | 142 E Jefferson St Ste D, Bluffton, OH 45817-1330 | 2010-09-27 |
| 1851611917 | Heidi Johnson | Massage Therapist | 119 Wheatfield Ct, Bluffton, SC 29910-5892 | 2010-06-10 |
| 1821564246 | Intuitouch | Massage Therapist | 23 Plantation Park Dr Ste 203, Bluffton, SC 29910-6072 | 2018-10-23 |
| 1962981597 | Catherine Mengel | Massage Therapist | 23 Plantation Park Dr Ste 203, Bluffton, SC 29910-6072 | 2018-08-14 |
| Find all providers in BLUFFTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.