NPI 1407132608

Tracie Fortney

Practitioner Reflexologist Lakeside, CA

Practice location

Address: 9816 Vine St, Lakeside, CA 92040-3119
Phone: (619) 905-9251
Mailing address: 9757 Marilla Dr APT 204, Lakeside, CA 92040-2862

Registered specialties

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X Licence 25412 (CA)

Other Reflexologist providers in California →

Registry record

NPI: 1407132608
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Nov 2011
Record last updated: 1 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.