Tyra Willis

NPI #1124835707 in Maricopa, Arizona

Provider Information

NPI Number: 1124835707
Entity Type: Individual
Name: Tyra Willis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Dec 16, 2024
Last Updated: Dec 16, 2024

Practice Location

Address: 44457 W KNAUSS DR
City: Maricopa
State: Arizona
ZIP Code: 85138-6430
Phone: (517) 414-6405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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