Individual
TRACI DENIECE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3000 JOE DIMAGGIO BLVD STE 95, ROUND ROCK, TX 78665-3993
(208) 646-8257
Mailing address
3000 JOE DIMAGGIO BLVD STE 95, ROUND ROCK, TX 78665-3993
(208) 646-8257
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5061775
ID
225700000X
Massage Therapist
Primary
MT029533
TX
Other
Enumeration date
09/22/2023
Last updated
07/23/2026
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