Individual
SHANICE TIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT147709
Contact information
Practice address
9030 MARKVILLE DR APT 4135, DALLAS, TX 75243-3550
(469) 618-3434
Mailing address
9030 MARKVILLE DR APT 4135, DALLAS, TX 75243-3550
(469) 618-3434
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT147709
TX
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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