Individual
CHRISTINA LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
10326 HILLSIDE LN, FREDERICKSBURG, VA 22408-2676
(540) 898-7173
Mailing address
10326 HILLSIDE LN, FREDERICKSBURG, VA 22408-2676
(540) 898-7173
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019008112
VA
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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