Individual
TRACY DAWN VANWOERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
215 S DETTMAN RD, JACKSON, MI 49203-2204
(517) 788-5443
Mailing address
913 LONGFELLOW AVE, JACKSON, MI 49202-3033
(517) 499-8336
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004489
MI
Other
Enumeration date
12/08/2014
Last updated
01/10/2025
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