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

Travis Jerrod Tyson

Individual provider Massage Therapist · NPI 1679227441

Travis Jerrod Tyson is a Massage Therapist in Woodbridge, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2022

Practice location Address checks out

12225 Cranford Dr
Woodbridge, VA 22192-5453
Phone: (240) 351-1461
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 0019016357 (VA)

Record details

NPI number1679227441
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 9, 2022
Last updated in NPPESFebruary 9, 2022
Certification dateFebruary 9, 2022
Mailing address12225 Cranford Dr, Woodbridge, VA 22192-5453

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