| Miss Tracy L Mcclellan, LMP | |
|
401 N Pacific Ave, Kelso, WA 98626-3515 | |
| (360) 577-7191 | |
| Not Available |
| Full Name | Miss Tracy L Mcclellan |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 401 N Pacific Ave, Kelso, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164647228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA00020641 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Tracy L Mcclellan, LMP 4400 Ocean Beach Hwy, Sp. #12, Longview, WA 98632-5080 Ph: (360) 577-7191 | Miss Tracy L Mcclellan, LMP 401 N Pacific Ave, Kelso, WA 98626-3515 Ph: (360) 577-7191 |
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