Individual
TRACEY BARTON-HERISHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
82 8TH ST, WOOD RIDGE, NJ 07075-2104
(201) 390-6787
Mailing address
82 8TH ST, WOOD RIDGE, NJ 07075-2104
(201) 390-6787
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00598600
NJ
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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