Individual
MISS TRACEY JANE MEYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
711 COMMERCE ST, FORT WORTH, TX 76102
(817) 716-9634
Mailing address
7224 CHURCH PARK DRIVE, FORT WORTH, TX 76133
(817) 716-9634
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT109160
VT
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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