Individual
MRS. TRACEY RENEE HARDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LNMT
Contact information
Practice address
1521 MONTEREY RD APT 204, COLORADO SPRINGS, CO 80910-4505
(719) 508-1432
Mailing address
1521 MONTEREY RD APT 204, COLORADO SPRINGS, CO 80910-4505
(210) 632-4836
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0025738
CO
Other
Enumeration date
05/04/2023
Last updated
06/07/2023
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