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

Individual provider Massage Therapist · NPI 1922745751

Tiffany Desirea List, LMT, PTA is a Massage Therapist in Melbourne, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1049 Eber Blvd Ste 103
Melbourne, FL 32904-8767
Phone: (321) 759-3555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA29516 (FL)
Massage Therapist Taxonomy 225700000X · Licence MA72585 (FL)

Record details

NPI number1922745751
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT , PTA
Sole proprietorYes
NPI enumeratedMay 13, 2022
Last updated in NPPESMay 13, 2022
Certification dateMay 13, 2022

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