Traci Deniece White, LMT

NPI #1013796622 in Pocatello, Idaho

Provider Information

NPI Number: 1013796622
Entity Type: Individual
Name: Traci Deniece White, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 22, 2023
Last Updated: Nov 24, 2024

Practice Location

Address: 440 E CLARK ST STE B8
City: Pocatello
State: Idaho
ZIP Code: 83201-6308
Phone: (208) 646-8257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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