Individual
TRACI L AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
221 S. WALCOTT, CASPER, WY 82601
(307) 267-7124
Mailing address
201 HONEYSUCKLE ST, CASPER, WY 82604-3932
(307) 267-7124
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WY
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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