Individual
TRACY MACLACHLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
308 HAZARD AVE, ENFIELD, CT 06082-4613
(860) 265-3231
Mailing address
40 BROADBROOK RD, ENFIELD, CT 06082-4804
(603) 892-7769
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009547
CT
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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