Individual
TRACY L RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1101 W MOANA LN, RENO, NV 89509-4775
(775) 338-5353
Mailing address
2700 PLUMAS ST, #321, RENO, NV 89509-4159
(775) 338-5353
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
4007
NV
Other
Enumeration date
06/19/2008
Last updated
01/19/2010
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