Grossman, Tracy
Grossman, Tracy is an sole proprietor health care provider with primary practice located at 1110 Williams St , Lake Geneva WI 53147-1254. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Grossman, Tracy can be contacted via phone (262) 949-4965.Contact Information
Primary practice address
1110 Williams St
Lake Geneva WI 53147-1254
Phone: (262) 949-4965
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 655-146 | Wisconsin |
Profile Details
| NPI number | 1487425740 |
|---|---|
| LBN Legal business name | Grossman, Tracy |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2024 |
| Last updated | Jan 15th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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