Individual
TRACY SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 ROGERS AVE STE E, FORT SMITH, AR 72903-2986
(479) 217-1240
Mailing address
3401 ROGERS AVE STE E, FORT SMITH, AR 72903-2986
(479) 217-1240
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9393
AR
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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