Individual
TRACY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, GCFP
Contact information
Practice address
205 E JAMES ST # 100, KENT, WA 98032-4555
(253) 850-6300
(253) 850-6010
Mailing address
26265 39TH PL S, KENT, WA 98032-7052
(253) 850-6300
(253) 850-6010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00008491
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00008491
MASSAGE LICENSE
WA
Enumeration date
11/03/2006
Last updated
07/08/2007
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