Individual
TRACEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
618 4TH AVE, SUITE 208, BETHLEHEM, PA 18018-5575
(484) 554-1210
Mailing address
934 CAMBRIDGE AVE, BETHLEHEM, PA 18018-3221
(484) 554-1210
(610) 974-9778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG001047
PA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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