Berevon Tayshawn Wyatt
Berevon Tayshawn Wyatt is a Massage Therapist in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2020
Practice location Address checks out
3510 N Oakland Ave Ste 206Milwaukee, WI 53211-2746
Phone: (414) 915-4213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 14485-146 (WI) |
|---|
Record details
| NPI number | 1114526068 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 21, 2020 |
| Last updated in NPPES | October 21, 2020 |
| Certification date | October 21, 2020 |
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