Individual
DALLAS TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA60827488
WA
225700000X
Massage Therapist
Primary
MT134091
TX
Other
Enumeration date
01/14/2019
Last updated
08/11/2026
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