Individual provider · Type 1 NPI

Tyra Willis

Massage Therapist · Maricopa, AZ

NPI number 1124835707 Active

Practice location

44457 W Knauss Dr
Maricopa, AZ 85138-6430

Call (517) 414-6405 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-30249 (AZ)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1124835707

Tyra Willis's National Provider Identifier is 1124835707, issued on Dec 16, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Maricopa, AZ. The record was last updated on Dec 16, 2024.