Individual provider · Type 1 NPI

Tiffany A. Theriault, MT

Massage Therapist · Livonia, MI

NPI number 1356663595 Active

Practice location

16801 Newburgh Rd Ste 114
Livonia, MI 48154-1606

Call (248) 910-3644 Map

Fax (248) 773-7035

Mailing address

5000 Town Ctr Ste 2001
Southfield, MI 48075-1116

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1356663595

Tiffany A. Theriault, MT's National Provider Identifier is 1356663595, issued on Feb 15, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Livonia, MI. The record was last updated on Feb 15, 2010.