MEDICARE: MRS. TIFANI MEGAN REVELS LEE LMT

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	MA74492	FL

General Provider Information

NPI Number	:	1275963670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TIFANI MEGAN REVELS LEE LMT

Provider Business Mailing Address
First Line	:	756 HALSEY AVE
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33974-2654
Country	:	US
Telephone Number	:	239-481-8855
Fax Number	:

Provider Business Practice Location Address
First Line	:	6202 PRESIDENTIAL CT
Second Line	:	SUITE B
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3563
Country	:	US
Telephone Number	:	239-481-8855
Fax Number	:

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

Provider Enumeration Date	:	11/21/2013
Last Update Date	:	02/09/2016

Similar Medicare Providers

1235673849 — NEW BEGINNINGS AT FT MYERS LLC
Practice Location Address:

6202 PRESIDENTIAL CT , SUITE E
FORT MYERS, FL
33919-3563

Practice Phone: 813-766-2376
Practice Fax:

1457329385 — DAVID REUEL NAVORSKA DO
Practice Location Address:

AAFMH , 650 JOEL DRIVE
FORT CAMPBELL, KY
42223-3563

Practice Phone: 270-956-0077
Practice Fax: 865-647-3369

1255566287 — CRANDALL CITY MARKET INC
Practice Location Address:

3563 ALTON RD
FORT WORTH, TX
76109-2834

Practice Phone: 817-429-2571
Practice Fax: 817-921-6075

1114251774 — ALBERTSONS LLC
Practice Location Address:

3563 ALTON RD
FORT WORTH, TX
76109

Practice Phone: 817-923-3502
Practice Fax: 817-923-1843

1487035663 — JANICE GRAHAM
Practice Location Address:

3563 ALTON RD
FORT WORTH, TX
76109-2834

Practice Phone: 817-548-1516
Practice Fax:

1306228838 — JUDSON CONNER
Practice Location Address:

3563 ALTON RD
FORT WORTH, TX
76109-2834

Practice Phone: 817-548-1516
Practice Fax:

Directions to “ MRS. TIFANI MEGAN REVELS LEE LMT” 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.