Individual
MICHAEL WAYNE TWITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1076 RIBAUT RD STE 102, BEAUFORT, SC 29902-5490
(843) 521-1970
(843) 521-0908
Mailing address
1076 RIBAUT RD STE 102, BEAUFORT, SC 29902-5490
(843) 521-1970
(843) 521-0908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9879
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9879
BOARD OF PHYSICAL THERAPY LICENSE
SC
Enumeration date
08/30/2019
Last updated
08/30/2019
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