Tracey Clark is a Specialist based in Dallas, TX. Tracey Clark practices in Dallas, TX. The NPI Number for Tracey Clark is 1720449556 and holds a License No. 225700000X (Texas).
The current practice location address for Tracey Clark is 2201 Main St, Dallas, TX and can be reached out via phone at 972-900-2708.
Location: 2201 Main St, Dallas, TX, 75201-4327
Provider Profile Details
NPI Number
1720449556
Provider Name
Tracey Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
2201 Main St, Dallas, TX, 75201-4327
Phone Number
972-900-2708
Fax Number
Provider Enumeration Date
03/07/2016
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225700000X | 01 | TX | MASSAGE THERAPY |
Provider Business Practice Location Address Details
Address
2201 Main St
City
State
Zip
75201-4327
Phone Number
972-900-2708
Fax Number
Provider Business Mailing Address Details
Address
2201 Main St
City
State
Zip
75201-4327
Phone Number
972-900-2708
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
225700000X (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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