Tiffany R Matthews, LMT
Massage Therapist in Lake Mary, FL. Individual provider (NPI-1).
NPI number1720948557
StatusActive
Last updated in NPPESNov 14, 2025
Details
- NPI
- 1720948557
- Entity type
- Individual (NPI-1)
- Name
- Tiffany R Matthews
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2025
- Certification date
- Oct 30, 2025
- Last updated
- Nov 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA102173 | FL | Yes |
Practice location
1997 Longwood Lake Mary Rd.Suite 1001
Lake Mary, FL 32746
Phone 407-314-2642
Mailing address
627 Queensbridge DrLake Mary, FL 32746-6457
Phone 407-314-2642
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