IndividualActive
Willie Wheat, PTA/TECH
NPI 1548130347 · Other Specialist/Technologist · Columbia, SC
Provider details
- NPI number
- 1548130347
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- PTA/TECH
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
4500 8th Division Rd
Columbia, SC 29207-5700
Phone: (803) 751-3021
Approximate (ZIP-level) locationGet directions
Mailing address
533 Buckhaven Way
Columbia, SC 29229-8385
Registry dates
- Enumerated
- 2025-11-06
- Last updated
- 2025-11-06
- Certified
- 2025-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.