Individual
TRICIA LEIGH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T
Contact information
Practice address
1001 S 4J RD, GILLETTE, WY 82716-4136
(307) 689-6259
Mailing address
1001 S 4J RD, GILLETTE, WY 82716-4136
(307) 689-6259
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WY
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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