| Tracy Rosa, LMT | |
|
11745 W Pico Blvd, Los Angeles, CA 90064-1308 | |
| (424) 400-4057 | |
| Not Available |
| Full Name | Tracy Rosa |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 11745 W Pico Blvd, Los Angeles, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003658030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 39265 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Rosa, LMT 3756 Cardiff Ave Apt 206, Los Angeles, CA 90034-8807 Ph: (310) 365-1528 | Tracy Rosa, LMT 11745 W Pico Blvd, Los Angeles, CA 90064-1308 Ph: (424) 400-4057 |
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