MEDICARE: MS. DENISE JENEE TILLER LMBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	12317	SC
2	225700000X	Massage Therapist	19217	NC

General Provider Information

NPI Number	:	1477215127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DENISE JENEE TILLER LMBT

Provider Business Mailing Address
First Line	:	13004 ASHEFORD WOODS LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28278-7845
Country	:	US
Telephone Number	:	434-944-7702
Fax Number	:

Provider Business Practice Location Address
First Line	:	4310 PARK RD APT 102
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-0006
Country	:	US
Telephone Number	:	704-412-5395
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2021
Last Update Date	:	11/13/2024

Similar Medicare Providers

1932611324 — CHARLOTTE ONE ON ONE PHYSICAL THERAPY
Practice Location Address:

4310 PARK RD APT 103
CHARLOTTE, NC
28209-0006

Practice Phone: 860-490-3072
Practice Fax:

1275148553 — MARCUS A. BOND DDS PLLC
Practice Location Address:

1300 SOUTH BLVD STE A
CHARLOTTE, NC
28203-0006

Practice Phone: 704-302-1919
Practice Fax:

1508619248 — FERROUS HEALTH MEDICAL GROUP PA
Practice Location Address:

212 S TRYON ST STE 1000
CHARLOTTE, NC
28281-0006

Practice Phone: 949-463-0650
Practice Fax:

1487494811 — EVENTUS WH SOUTHEAST, LLC
Practice Location Address:

212 S TYRON ST STE 1000
CHARLOTTE, NC
28281-0006

Practice Phone: 855-743-2247
Practice Fax:

1497404891 — AMY DANAE RHOADS KAUFFMAN LMFT
Practice Location Address:

4726 PARK RD STE C
CHARLOTTE, NC
28209-3375

Practice Phone: 704-776-2464
Practice Fax:

1669904009 — ERICKA G JARVIS M.S., LCMHC
Practice Location Address:

4412 PARK RD STE B
CHARLOTTE, NC
28209-3130

Practice Phone: 631-416-1319
Practice Fax:

Directions to “ MS. DENISE JENEE TILLER LMBT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.