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Tequila King, PTA
NPI 1689412082 · on the registry since 2024 · sole proprietor
Practice
- Address
- 567 N Okatie Hwy
Ridgeland, SC 29936 - Phone
- (843) 476-0736
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina