Individual
TYESHA SHAWON STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1220 KNOX ABBOTT DR STE F, CAYCE, SC 29033-3351
(839) 205-6681
Mailing address
120 WHISPER WAY, WEST COLUMBIA, SC 29169-6881
(839) 205-6681
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13123
SC
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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