Tiffany Caylor, CMT

Individual provider Active NPI Massage Therapist · Montross, VA

NPI 1184010472 · NPPES record last updated Apr 13, 2015

Key facts

NPI
1184010472
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
0019012963 (VA)
Practice address
212 Armed Forces Dr
Montross, VA 22520-4007
Phone
(804) 761-7494
NPI assigned
Apr 13, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0019012963VAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019012963 VA Yes

Addresses

Primary practice location

212 Armed Forces Dr
Montross, VA 22520-4007

Mailing address

212 Armed Forces Dr
Montross, VA 22520-4007
Phone (804) 761-7494

Other providers in Montross, VA

All providers in Montross, VA · Massage Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.