Individual provider · Type 1 NPI
Travis Jerrod Tyson
Massage Therapist · Woodbridge, VA
NPI number
1679227441
Active
Practice location
12225 Cranford Dr
Woodbridge, VA 22192-5453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 0019016357 (VA) |
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 1679227441
Travis Jerrod Tyson's National Provider Identifier is 1679227441, issued on Feb 9, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Woodbridge, VA. The record was last updated on Feb 9, 2022.