Individual
TRACY EASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2627 VANNESS ST, PORT HURON, MI 48060-6847
(810) 334-3254
Mailing address
2627 VANNESS ST., PORT HURON, MI 48060
(810) 334-3254
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501009149
MI
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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