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Tracy Marvin Berg III, LMT
Massage Therapist in Fairfax, Virginia
NPI 1467068916

Tracy Marvin Berg III is a Massage Therapist based in Fairfax, VA. Tracy Marvin Berg III practices in Fairfax, VA and has the professional credentials of LMT. The NPI Number for Tracy Marvin Berg III is 1467068916 and holds a License No. 0019002906 (Virginia).

The current practice location address for Tracy Marvin Berg III is 2700 Dorr Ave Apt 526, Fairfax, VA and can be reached out via phone at 202-246-0724.

Location: 2700 Dorr Ave Apt 526, Fairfax, VA, 22031-4946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467068916
Provider Name
Tracy Marvin Berg III
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
2700 Dorr Ave Apt 526, Fairfax, VA, 22031-4946
Phone Number
202-246-0724
Fax Number
Provider Enumeration Date
09/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2700 Dorr Ave Apt 526
City
Fairfax
State
Virginia
Zip
22031-4946
Phone Number
202-246-0724
Fax Number
person
Provider Business Mailing Address Details
Address
2700 Dorr Ave Apt 526
City
Fairfax
State
Virginia
Zip
22031-4946
Phone Number
202-246-0724
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
0019002906 (Virginia)
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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