Individual
TRACI LEEANN EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
8120 GARNET DR, DAYTON, OH 45458-2141
(937) 291-2511
Mailing address
1658 CATAWBA AVE, SPRINGFIELD, OH 45503-4019
(937) 450-7271
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
33.019648 E-G
OH
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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