Individual
TRACIE ANN NESTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT,AAS
Contact information
Practice address
1571 N MAGNOLIA AVE STE 212, EL CAJON, CA 92020-1274
(619) 975-2730
Mailing address
244 N MOLLISON AVE APT 101, EL CAJON, CA 92021-6892
(858) 899-1287
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
71871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
MASSAGE THERAPY
CA
Enumeration date
09/27/2022
Last updated
09/27/2022
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