Individual
TRACEY WEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8900 N CENTRAL AVE, SUITE 211, PHOENIX, AZ 85020-2845
(602) 740-3594
Mailing address
9424 N 2ND PL, PHOENIX, AZ 85020-2010
(602) 331-4095
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-04765P
AZ
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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