King, Tequila
King, Tequila is an sole proprietor health care provider with primary practice located at 567 N Okatie Hwy , Ridgeland SC 29936-5078. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. King, Tequila can be contacted via phone (843) 476-0736.Contact Information
Primary practice address
567 N Okatie Hwy
Ridgeland SC 29936-5078
Phone: (843) 476-0736
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 3934 | South Carolina |
Profile Details
| NPI number | 1689412082 |
|---|---|
| LBN Legal business name | King, Tequila |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2024 |
| Last updated | Jul 18th, 2024 - about last year |
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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