Individual
TRACY LYN VANDRUNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3538 RIDGE RD, LANSING, IL 60438-3315
(708) 895-4444
Mailing address
3538 RIDGE RD, LANSING, IL 60438-3315
(708) 895-4444
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.005942
IL
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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