Tracy Ann Burns, LMT
Individual provider Active NPI Massage Therapist · S Schodack, NY
NPI 1306002779 · NPPES record last updated Aug 5, 2008
Key facts
- NPI
- 1306002779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 0193741 (NY)
- Practice address
- 1523 Columbia Tpke
S Schodack, NY 12033-9544 - Phone
- (518) 479-5680
- NPI assigned
- Aug 5, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0193741 | NY | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0193741 | NY | Yes |
Addresses
Primary practice location
1523 Columbia Tpke
S Schodack, NY 12033-9544
Mailing address
1523 Columbia Tpke
S Schodack, NY 12033-9544
Phone (518) 479-5680
Other providers in S Schodack, NY
- Albany Troy Cataract and Laser Associates
- Lorraine Betts
- Wilhelmina Green
- Richard Edward Smith Medicine PC
All providers in S Schodack, NY · Massage Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.