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Individual

TRACIE L BAXTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T

Contact information

Practice address
260 KALES HILL RD, WHITNEY POINT, NY 13862-1622
(607) 692-3961
(607) 692-2514
Mailing address
260 KALES HILL RD, WHITNEY POINT, NY 13862-1622
(607) 743-4243
(607) 692-2514

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014189-1
NY

Other

Enumeration date
12/15/2010
Last updated
12/15/2010
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