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NPI Code Detail

MEDICARE: MS. TRACY L STONE L.M.T

MEDICARE:  MS. TRACY L STONE  L.M.T
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
1225700000XMassage TherapistMA37793FL

General Provider Information

NPI Number : 1386639201
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRACY L STONE L.M.T
Provider Business Mailing Address
First Line : PO BOX 495665
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33949-5665
Country : US
Telephone Number : 941-575-8228
Fax Number : 941-575-9743
Provider Business Practice Location Address
First Line : 3400 TAMIAMI TRL
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33952-8102
Country : US
Telephone Number : 941-575-8228
Fax Number : 941-575-9743
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2005
Last Update Date : 10/22/2007

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Directions to “ MS. TRACY L STONE L.M.T” Practice Location

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