Individual
KENNETH MARCUS TEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 GLENNA DR, ANDERSON, SC 29626-6715
(706) 244-2835
Mailing address
202 GLENNA DR, ANDERSON, SC 29626-6715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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