Tyesha Shawon Staley, LMT

NPI #1982495677 in Cayce, South Carolina

Provider Information

NPI Number: 1982495677
Entity Type: Individual
Name: Tyesha Shawon Staley, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 13, 2025
Last Updated: May 13, 2025

Practice Location

Address: 1220 KNOX ABBOTT DR STE F
City: Cayce
State: South Carolina
ZIP Code: 29033-3351
Phone: (839) 205-6681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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