Individual
MS. TRACY DANIELLE PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
362 TYEE STREET, SOLDOTNA, AK 99669
(907) 252-7798
Mailing address
PO BOX 1916, SOLDOTNA, AK 99669-1916
(907) 252-7798
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
570415-09
AK
Other
Enumeration date
03/27/2013
Last updated
04/11/2013
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