Individual
TRACY LYNN WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
415 JOHNSON ST, ANDERSONVILLE, GA 31711-1798
(229) 924-0574
Mailing address
PO BOX 27, ANDERSONVILLE, GA 31711-0027
(229) 924-0574
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT001030
GA
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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