Tiffany De Jong
Individual provider Active NPI Massage Therapist · Brambleton, VA
NPI 1417879115 · NPPES record last updated Jul 27, 2026
Key facts
- NPI
- 1417879115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 0019020958 (VA)
- Practice address
- 23248 Hickox Dr
Brambleton, VA 20148-7299 - Phone
- (843) 955-8525
- NPI assigned
- Jul 27, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0019020958 | VA | Yes |
Addresses
Primary practice location
23248 Hickox Dr
Brambleton, VA 20148-7299
Mailing address
23248 Hickox Dr
Brambleton, VA 20148-7299
Phone (843) 955-8525
Other providers in Brambleton, VA
- Clinibooth Inc
- Victoria Anne Crapes
- Alia Haque Creason
- Alexandra Lynn Cross
- Sumona Das
- Ryan Dobson
- Colleen Doyle
- Jack Thomas Duvall
- Morgan Eberle
- Aysha Ehsan
All providers in Brambleton, VA · Massage Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.