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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 12730 (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.