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Ms. Traci Julia Richardson
Massage Therapist in Colton, California
NPI 1063019503

Traci Julia Richardson is a Massage Therapist based in Colton, CA. Traci Julia Richardson practices in Colton, CA. The NPI Number for Traci Julia Richardson is 1063019503 and holds a License No. 12730 (California).

The current practice location address for Traci Julia Richardson is 1316 S Meadow Ln Apt 161, Colton, CA and can be reached out via phone at 818-233-9708.

Location: 1316 S Meadow Ln Apt 161, Colton, CA, 92324-6411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063019503
Provider Name
Traci Julia Richardson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1316 S Meadow Ln Apt 161, Colton, CA, 92324-6411
Phone Number
818-233-9708
Fax Number
Provider Enumeration Date
10/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12730 01 CA CERTIFIED MASSAGE THERAPIST
institution
Provider Business Practice Location Address Details
Address
1316 S Meadow Ln Apt 161
City
Colton
State
California
Zip
92324-6411
Phone Number
818-233-9708
Fax Number
person
Provider Business Mailing Address Details
Address
1316 S Meadow Ln Apt 161
City
Colton
State
California
Zip
92324-6411
Phone Number
818-233-9708
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
12730 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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