Individual provider · Type 1 NPI

Tracy Carpenter, LMY

Massage Therapist · Kenosha, WI

NPI number 1740817907 Active

Practice location

6811 118th Ave
Kenosha, WI 53142-8420

Call (262) 857-5750 Map

Mailing address

1020 N 12th St
Milwaukee, WI 53233-1308

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13288-146 (WI)

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 1740817907

Tracy Carpenter, LMY's National Provider Identifier is 1740817907, issued on Mar 26, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kenosha, WI. The record was last updated on Mar 26, 2020.