Provider Demographics
NPI:1184010472
Name:CAYLOR, TIFFANY (CMT)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:CAYLOR
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 ARMED FORCES DR
Mailing Address - Street 2:
Mailing Address - City:MONTROSS
Mailing Address - State:VA
Mailing Address - Zip Code:22520-4007
Mailing Address - Country:US
Mailing Address - Phone:804-761-7494
Mailing Address - Fax:
Practice Address - Street 1:212 ARMED FORCES DR
Practice Address - Street 2:
Practice Address - City:MONTROSS
Practice Address - State:VA
Practice Address - Zip Code:22520-4007
Practice Address - Country:US
Practice Address - Phone:804-761-7494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-13
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019012963225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist