Individual
JONATHAN DANIEL KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2661 TEMPERANCE DR, MYRTLE BEACH, SC 29577-1609
(843) 957-5357
Mailing address
2661 TEMPERANCE DR, MYRTLE BEACH, SC 29577-1609
(843) 957-5357
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11322
SC
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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