Individual
TRACY JEAN KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1647 GREENE LAKE DR, XENIA, OH 45385-1534
(937) 329-1067
Mailing address
1647 GREENE LAKE DR, XENIA, OH 45385-1534
(937) 329-1067
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.022479
OH
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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