Tracy Frederick

Massage Therapist · Encinitas, CA

Individual Active NPI

NPI number 1760948988

Practice location

1200 Garden View Rd Ste 220
Encinitas, CA 92024-2475
Phone
(858) 249-6890

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NPI record

NPI
1760948988
Entity type
Individual (Type 1)
Enumeration date
February 12, 2019
Last updated
February 12, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Massage Therapist Primary 225700000X 76212 CA

Mailing address

5060 Shoreham Pl Ste 330
San Diego, CA 92122-5976
Phone
(858) 249-6890

About Tracy Frederick

Tracy Frederick is a healthcare provider registered in the NPI registry with the primary taxonomy Massage Therapist (code 225700000X). The practice location is 1200 Garden View Rd Ste 220, Encinitas, CA 92024-2475. The NPI number 1760948988 was assigned on February 12, 2019 and the record was last updated on February 12, 2019.

Tracy Frederick lists a license in the registry: #76212 (CA) for Massage Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tracy Frederick?

The NPI number is 1760948988.

What is the phone number of Tracy Frederick?

The phone number listed for the practice location is (858) 249-6890.

Where is Tracy Frederick located?

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

What is the taxonomy code for Tracy Frederick?

The primary taxonomy code is 225700000X – Massage Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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