TIFFANY DAVIDSON
NPI 1073371621
Massage Therapist in Fairfax, VA
Active since March 08, 2024
About Tiffany Davidson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY DAVIDSON (NPI 1073371621) is an individual massage therapist in Fairfax, Virginia, licensed in Virginia (0019007327) and active in the NPI registry since March 2024.
NPPES Registry Identity
NPI1073371621
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameTIFFANY DAVIDSON
Location Address8100 INNOVATION PARK DR LOWR LEVELFairfax, VA 22031-4870
Mailing Address8100 Innovation Park Dr Lowr LevelFairfax, VA 22031-4870 · (571) 472-1401
Phone(571) 472-1440
Sole ProprietorYes
Enumeration DateMarch 8, 2024
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1073371621 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in VA · 0019007327
Definition
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.
8100 INNOVATION PARK DR LOWR LEVEL, Fairfax, VA 22031
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073371621, enumerated as an "individual" on March 08, 2024.
The provider is located at 8100 INNOVATION PARK DR LOWR LEVEL FAIRFAX, VA 22031 and the phone number is (571) 472-1440.
Massage Therapist with taxonomy code 225700000X.