Individual provider · NPI-1
Tracey Strong Duhon, LMT
Massage Therapist · Lake Charles, LA
NPI number1679167084
StatusActive
Last updated in NPPESFeb 25, 2021
Details
- NPI
- 1679167084
- Entity type
- Individual (NPI-1)
- Name
- Tracey Strong Duhon
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2021
- Certification date
- Feb 25, 2021
- Last updated
- Feb 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | LA6030 | LA | Yes |
Practice location
2301 E Prien Lake RdLake Charles, LA 70601-7976
Phone 337-526-4854
Mailing address
2915 Fitzenrieter RdLake Charles, LA 70615-1314
Phone 337-526-4854
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