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

Tyra Willis

Individual provider Massage Therapist · NPI 1124835707

Tyra Willis is a Massage Therapist in Maricopa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2024

Practice location Address checks out

44457 W Knauss Dr
Maricopa, AZ 85138-6430
Phone: (517) 414-6405
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT-30249 (AZ)

Record details

NPI number1124835707
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 16, 2024
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address44457 W Knauss Dr, Maricopa, AZ 85138-6430

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