Individual provider · Type 1 NPI

Tracy Frederick

Massage Therapist · Encinitas, CA

NPI number 1760948988 Active

Practice location

1200 Garden View Rd Ste 220
Encinitas, CA 92024-2475

Mailing address

5060 Shoreham Pl Ste 330
San Diego, CA 92122-5976

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X76212 (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 1760948988

Tracy Frederick's National Provider Identifier is 1760948988, issued on Feb 12, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Encinitas, CA. The record was last updated on Feb 12, 2019.