MEDICARE: MRS. LE' ZETTE J TRAUDT CMP

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	39486	CA

General Provider Information

NPI Number	:	1043643315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LE' ZETTE J TRAUDT CMP

Provider Business Mailing Address
First Line	:	1648 E HERNDON AVE STE 106
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-3381
Country	:	US
Telephone Number	:	559-432-7222
Fax Number	:	559-432-7541

Provider Business Practice Location Address
First Line	:	1648 E HERNDON AVE STE 106
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-3381
Country	:	US
Telephone Number	:	559-432-7222
Fax Number	:	559-432-7541

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

Provider Enumeration Date	:	08/09/2013
Last Update Date	:	05/11/2026

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