Individual provider · NPI-1
Tiffany Rene Dillard
Massage Therapist · Dallas, TX
NPI number1396616645
StatusActive
Last updated in NPPESSep 17, 2025
Details
- NPI
- 1396616645
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Rene Dillard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2025
- Certification date
- Sep 17, 2025
- Last updated
- Sep 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | TX | Yes |
| 342000000X | Transportation Network Company | – | LA | |
| 347E00000X | Transportation Broker | – | TX | |
| 251E00000X | Home Health | – | TX |
Practice location
539 W Commerce St # 3832Dallas, TX 75208-1953
Phone 832-446-1556 · Fax 832-626-2131
Mailing address
539 W Commerce St # 3832Dallas, TX 75208-1953
Phone 832-446-1556 · Fax 832-626-2131
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