Whalio Doctors

NPI 1114637931

Harley Ann-Renee Tisdale

Practitioner Student in an Organized Health Care Education/Training Program Summerville, SC

Practice location

Address
126 Spring Meadows Dr, Summerville, SC 29485-8792
Phone
(843) 906-6449

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary
Student, Health Care Taxonomy 390200000X
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Registry record

NPI
1114637931
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Dec 2022
Record last updated
2 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.