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TRACY L RICHARDSON LMT

Other Service Providers Mechanotherapist

Provider NPI: 1871754101

Provider Information:
 TRACY L RICHARDSON LMT
Gender: F
Sole Proprietor

Practice Location:
1101 W MOANA LN  RENO, NV 89509-4775 US
Tel: 775-338-5353  Fax: --

Business Mailing Address:
2700 PLUMAS ST #321 RENO, NV 89509-4159 US
Tel: 775-338-5353  Fax: --

NPI Information:
NPI: 1871754101
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172M00000XOther Service Providers
Mechanotherapist
NV4007

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 172M00000X

Type:

Classification:



Definition:



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