Individual
MR. MICHAEL JOHN TEACHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
731 POLO RD, COLUMBIA, SC 29223-4462
(803) 788-5115
Mailing address
3533 HILL SPRINGS DR, LEXINGTON, SC 29073-9471
(803) 356-8467
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2422
SC
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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