Individual
TRACY LYNNETTE GAZZOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3417 HIGHWAY 5 STE G, DOUGLASVILLE, GA 30135-2378
(770) 489-7999
Mailing address
5992 FIELDER WAY, DOUGLASVILLE, GA 30135-5721
(404) 277-4004
(404) 277-4004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT001453
GA
Other
Enumeration date
08/30/2025
Last updated
08/30/2025
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