Individual provider · Type 1 NPI

Traci Julia Richardson

Massage Therapist · Colton, CA

NPI number 1063019503 Active

Practice location

1316 S Meadow Ln Apt 161
Colton, CA 92324-6411

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12730 (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 1063019503

Traci Julia Richardson's National Provider Identifier is 1063019503, issued on Oct 7, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Colton, CA. The record was last updated on Oct 7, 2020.