Individual provider · Type 1 NPI

Tracy Rosa, LMT

Massage Therapist · Los Angeles, CA

NPI number 1003658030 Active

Practice location

11745 W Pico Blvd
Los Angeles, CA 90064-1308

Call (424) 400-4057 Map

Mailing address

3756 Cardiff Ave Apt 206
Los Angeles, CA 90034-8807

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X39265 (CA)

Massage Therapist: 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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About NPI 1003658030

Tracy Rosa, LMT's National Provider Identifier is 1003658030, issued on Jun 11, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 11, 2024.