Individual
TIFFANY HENDRIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT, CMT
Contact information
Practice address
5389 PLAYA VISTA DR, PLAYA VISTA, CA 90094-2043
(310) 975-5887
Mailing address
1060 AMBLE DR, SHOREVIEW, MN 55126-2268
(310) 975-5887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
765186
CA
225700000X
Massage Therapist
Primary
2299
CA
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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