| Tracy Carpenter, LMY | |
|
6811 118th Ave, Kenosha, WI 53142-8420 | |
| (262) 857-5750 | |
| Not Available |
| Full Name | Tracy Carpenter |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 6811 118th Ave, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740817907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 13288-146 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Carpenter, LMY 1020 N 12th St, Milwaukee, WI 53233-1308 Ph: (414) 403-8004 | Tracy Carpenter, LMY 6811 118th Ave, Kenosha, WI 53142-8420 Ph: (262) 857-5750 |
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