Individual
KYLIE SHAI THORSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1877 N PARIS AVE, PORT ROYAL, SC 29935-2029
(843) 970-2899
Mailing address
254 RED CEDAR ST, BLUFFTON, SC 29910-8967
(843) 970-2899
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
8497
SC
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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