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Mrs. Tiffany Phung Ly
Massage Therapist in San Jose, California
NPI 1710745278

Tiffany Phung Ly is a Massage Therapist based in San Jose, CA. Tiffany Phung Ly practices in San Jose, CA. The NPI Number for Tiffany Phung Ly is 1710745278 and holds a License No. 81499 (California).

The current practice location address for Tiffany Phung Ly is 1330 Niagara Dr, San Jose, CA and can be reached out via phone at 415-936-3169.

Location: 1330 Niagara Dr, San Jose, CA, 95130-1241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710745278
Provider Name
Tiffany Phung Ly
Credential
Provider Entity Type
Individual
Gender
Female
Address
1330 Niagara Dr, San Jose, CA, 95130-1241
Phone Number
415-936-3169
Fax Number
Provider Enumeration Date
03/11/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1330 Niagara Dr
City
San Jose
State
California
Zip
95130-1241
Phone Number
415-936-3169
Fax Number
person
Provider Business Mailing Address Details
Address
1330 Niagara Dr
City
San Jose
State
California
Zip
95130-1241
Phone Number
415-936-3169
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
81499 (California)
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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