Active NPI
Tiressa Triplett
- Massage Therapist
- Manchester, MO
National Provider Identifier
1891418984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2021046600
- Practice address
- 13949 Manchester Rd Ste 36
Manchester, MO 63011-4505 - Phone
- (636) 633-2529
- NPI assigned
- Sep 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2021046600 | MO | Primary |
Addresses
Primary practice location
13949 Manchester Rd Ste 36
Manchester, MO 63011-4505
Mailing address
1710 S Old Highway 141
Fenton, MO 63026-5739
Phone (636) 633-2529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021046600 | MO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779580800000",
"number": "1891418984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 S OLD HIGHWAY 141",
"city": "FENTON",
"state": "MO",
"postal_code": "630265739",
"telephone_number": "636-633-2529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13949 MANCHESTER RD STE 36",
"city": "MANCHESTER",
"state": "MO",
"postal_code": "630114505",
"telephone_number": "636-633-2529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPLETT",
"first_name": "TIRESSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-22",
"last_updated": "2026-05-24",
"certification_date": "2026-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2021046600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.