Individual
TRACY SULLIVAN PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
301 S GENEVA ST, ITHACA, NY 14850-5445
(607) 379-0547
Mailing address
100 NORRIS AVE, AUBURN, NY 13021-1315
(607) 379-0547
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014991
NY
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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