Moody, Tracey E
Moody, Tracey E is an sole proprietor health care provider with primary practice located at 1838 Blackwater Dr , Marietta GA 30066-6712. 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. Moody, Tracey E can be contacted via phone (678) 472-3695.Contact Information
Primary practice address
1838 Blackwater Dr
Marietta GA 30066-6712
Phone: (678) 472-3695
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X |
Profile Details
| NPI number | 1376197764 |
|---|---|
| LBN Legal business name | Moody, Tracey E |
| Credentials | CMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2019 |
| Last updated | Jul 24th, 2019 - about 6 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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