Individual
TRACY LYNN BURNHAM ELDEVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7520 E CAMELBACK RD, SCOTTSDALE, AZ 85251-3511
(602) 957-2602
Mailing address
4150 E BERYL AVE, PHOENIX, AZ 85028-4119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-17291
AZ
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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