Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tiffany Phung Ly

Individual provider Massage Therapist · NPI 1710745278

Mrs. Tiffany Phung Ly is a Massage Therapist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1330 Niagara Dr
San Jose, CA 95130-1241
Phone: (415) 936-3169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 81499 (CA)

Record details

NPI number1710745278
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 11, 2024
Last updated in NPPESMarch 11, 2024
Certification dateMarch 9, 2024

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