Individual
MS. TRACI ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
528 E CENTER ST, MADISONVILLE, KY 42431-2140
(270) 824-0477
Mailing address
528 E CENTER ST, MADISONVILLE, KY 42431-2140
(270) 824-0477
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4623
KY
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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