KEYONA TYESE WISE NPI 1275130676

NPI Information

  • NPI: 1275130676
  • Provider Name: KEYONA TYESE WISE
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 108 PINE RIDGE DR
    BLUFFTON, SC
    ZIP 29910
  • Phone: (843) 338-8644

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NPI Details

Keyona Tyese Wise is a massage therapist in Bluffton, SC. 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. Keyona Tyese Wise NPI is 1275130676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

108 PINE RIDGE DR
BLUFFTON, SC
ZIP 29910-815
Phone: (843) 338-8644

The enumeration date for this NPI number is 10/8/2020 and was last updated on 10/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMAS5571SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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