Individual provider · Type 1 NPI

Tiffany Willis

Physical Therapy Assistant · Canton, MI

NPI number 1679439665 Active

Practice location

5536 Research Dr
Canton, MI 48188-2261

Call (734) 895-1901 Map

Mailing address

8629 Mannington Rd
Canton, MI 48187-2030

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X7501005565 (MI)
Physical Therapy Assistant Primary 225200000X5502005739 (MI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1679439665

Tiffany Willis's National Provider Identifier is 1679439665, issued on Jan 2, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Canton, MI. The record was last updated on Jan 2, 2026.