IndividualActive
Tiffany Theriault, MT
NPI 1356663595 · Massage Therapist · Livonia, MI
Provider details
- NPI number
- 1356663595
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16801 Newburgh Rd Ste 114
Livonia, MI 48154-1606
Phone: (248) 910-3644
Fax: (248) 773-7035
Street-level locationGet directions
Mailing address
5000 Town Ctr Ste 2001
Southfield, MI 48075-1116
Registry dates
- Enumerated
- 2010-02-15
- Last updated
- 2010-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.