Individual
TRACY ANN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, CPMT, CIMT
Contact information
Practice address
1820 WISCONSIN AVE, REDDING, CA 96001-2908
(530) 246-0908
Mailing address
1820 WISCONSIN AVE, REDDING, CA 96001-2908
(530) 246-0908
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
CERT #18532
CA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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