MEDICARE: TRACIE' L. STEELE LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	0019015788	VA

General Provider Information

NPI Number	:	1033726484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACIE' L. STEELE LMT

Provider Business Mailing Address
First Line	:	4615 HILLBROOK AVE
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23231-2109
Country	:	US
Telephone Number	:	804-441-3733
Fax Number	:

Provider Business Practice Location Address
First Line	:	4615 HILLBROOK AVE
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23231-2109
Country	:	US
Telephone Number	:	804-441-3733
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2020
Last Update Date	:	09/29/2020

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