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Travis Jerrod Tyson
Massage Therapist in Woodbridge, Virginia
NPI 1679227441

Travis Jerrod Tyson is a Massage Therapist based in Woodbridge, VA. Travis Jerrod Tyson practices in Woodbridge, VA. The NPI Number for Travis Jerrod Tyson is 1679227441 and holds a License No. 0019016357 (Virginia).

The current practice location address for Travis Jerrod Tyson is 12225 Cranford Dr, Woodbridge, VA and can be reached out via phone at 240-351-1461.

Location: 12225 Cranford Dr, Woodbridge, VA, 22192-5453
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679227441
Provider Name
Travis Jerrod Tyson
Credential
Provider Entity Type
Individual
Gender
Male
Address
12225 Cranford Dr, Woodbridge, VA, 22192-5453
Phone Number
240-351-1461
Fax Number
Provider Enumeration Date
02/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12225 Cranford Dr
City
Woodbridge
State
Virginia
Zip
22192-5453
Phone Number
240-351-1461
Fax Number
person
Provider Business Mailing Address Details
Address
12225 Cranford Dr
City
Woodbridge
State
Virginia
Zip
22192-5453
Phone Number
240-351-1461
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
0019016357 (Virginia)
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.
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