Berevon Tayshawn Wyatt is a massage therapist in Milwaukee, WI. The provider is 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. Berevon Tayshawn Wyatt NPI is 1114526068. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3510 N OAKLAND AVE STE 206
MILWAUKEE, WI
ZIP 53211-746
Phone: (414) 915-4213
The enumeration date for this NPI number is 10/21/2020 and was last updated on 10/21/2020.