Individual
TRACY MICHELLE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
290 4TH ST NE, CARROLLTON, OH 44615-1212
(330) 312-3034
Mailing address
290 4TH ST NE, CARROLLTON, OH 44615-1212
(330) 312-3034
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.025252
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33.025252
VA
OH
Enumeration date
09/27/2022
Last updated
09/27/2022
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