Mcclellan, Tracy L

Mcclellan, Tracy L is an sole proprietor health care provider with primary practice located at 401 N Pacific Ave , Kelso WA 98626-3515. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Mcclellan, Tracy L can be contacted via phone (360) 577-7191.

Contact Information

Primary practice address
401 N Pacific Ave Kelso WA 98626-3515
Phone: (360) 577-7191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00020641 Washington

Profile Details

NPI number 1164647228
LBN Legal business name Mcclellan, Tracy L
Credentials L.M.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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