Healthcare Provider Details

I. General information

NPI: 1144133455
Provider Name (Legal Business Name): TAMMI SILVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4635 E FORT LOWELL RD
TUCSON AZ
85712-1110
US

IV. Provider business mailing address

2902 N DODGE BLVD
TUCSON AZ
85716-2012
US

V. Phone/Fax

Practice location:
  • Phone: 520-370-3018
  • Fax:
Mailing address:
  • Phone: 520-370-3018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT-26223
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: