Individual
TIFFANY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5536 RESEARCH DR, CANTON, MI 48188-2261
(734) 895-1901
Mailing address
8629 MANNINGTON RD, CANTON, MI 48187-2030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005739
MI
225700000X
Massage Therapist
7501005565
MI
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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