Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tequila King, PTA

Individual provider Physical Therapy Assistant · NPI 1689412082

Tequila King, PTA is a Physical Therapy Assistant in Ridgeland, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

567 N Okatie Hwy
Ridgeland, SC 29936-5078
Phone: (843) 476-0736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3934 (SC)

Record details

NPI number1689412082
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 18, 2024
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing address108 Lakeway Dr, Bluffton, SC 29910-4411

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