Individual
TRACY LYNNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1740 WEIR DR STE 24, WOODBURY, MN 55125-2282
(651) 232-6830
(651) 702-2636
Mailing address
374 SUMMER LN, MAPLEWOOD, MN 55117-2335
(505) 501-0687
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
8415
NM
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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