Individual
TRACY L FERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1144 E HOME RD STE C, SPRINGFIELD, OH 45503-2797
(937) 206-7919
Mailing address
265 N BROADMOOR BLVD, SPRINGFIELD, OH 45504-1155
(937) 206-7919
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.009418
OH
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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