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Tracey Renee Brake
Massage Therapist in Cornelius, North Carolina
NPI 1588358451

Tracey Renee Brake is a Massage Therapist based in Cornelius, NC. Tracey Renee Brake practices in Cornelius, NC. The NPI Number for Tracey Renee Brake is 1588358451 and holds a License No. 19730 (North Carolina).

The current practice location address for Tracey Renee Brake is 19900 S Main St Ste 4, Cornelius, NC and can be reached out via phone at 704-777-8919.

Location: 19900 S Main St Ste 4, Cornelius, NC, 28031-8115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588358451
Provider Name
Tracey Renee Brake
Credential
Provider Entity Type
Individual
Gender
Female
Address
19900 S Main St Ste 4, Cornelius, NC, 28031-8115
Phone Number
704-777-8919
Fax Number
Provider Enumeration Date
06/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19900 S Main St Ste 4
City
Cornelius
State
North Carolina
Zip
28031-6513
Phone Number
704-777-8919
Fax Number
person
Provider Business Mailing Address Details
Address
19900 S Main St Ste 4
City
Cornelius
State
North Carolina
Zip
28031-6513
Phone Number
704-777-8919
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
19730 (North Carolina)
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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