TRACY RENFRO (NPI# 1225662430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225662430 |
Entity Type | Individual |
Full Name | TRACY RENFRO |
Credential | LMBT |
Practice Address |
3015 Kingfisher Dr Fayetteville NC 28306-9189 |
Mailing Address |
Po Box 65561 Fayetteville NC 28306-5561 |
Practice Telephone | 9109730346 |
Mailing Telephone | 9109730346 |
Enumeration Date | 2020-02-26 |
Last Update Date | 2020-02-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 13709 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3015 KINGFISHER DR |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28306-9189 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013539501 | Lauren Lockhart | Pharmacist | 5106 Nc-87 #100, Fayetteville, NC 28306 | 2020-05-07 |
1528687472 | Edutherapy Connection LLC | Occupational Therapist | 3518 Grenedine Dr, Fayetteville, NC 28306 | 2020-04-10 |
1245708213 | Catherine H Cox | Speech-Language Pathologist | Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 | 2018-11-08 |
1720446776 | Wal-mart Store East, Lp | Technician/Technologist | 2820 Gillespie St., Fayetteville, NC 28306 | 2016-02-05 |
1720460017 | Sridhar Gottipati | Pharmacist | 10072 Southern Ave., Fayetteville, NC 28306 | 2015-06-23 |
1942687900 | St Marys Hca of South Carolina | Clinic/Center | 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 | 2015-04-29 |
1649696204 | Kathryn Dries | Nurse Practitioner | 7496 Rockfish Road, Fayetteville, NC 28306 | 2014-03-06 |
1508288218 | Teresa Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3608 Pickerel St, Fayetteville, NC 28306 | 2014-01-15 |
1740535715 | Harris Teeter, LLC | Pharmacy | 3050 Traemoor Village Dr, Fayetteville, NC 28306 | 2012-07-17 |
1184928848 | Hanora Medical Center, Pllc | Internal Medicine | 2620 Owen Dr, Fayetteville, NC 28306 | 2011-01-10 |
Find all providers in zip 28306 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356948855 | Danielle Kringlie | Massage Therapist | 921 Old Hunt Pl, Fayetteville, NC 28314-6073 | 2020-10-07 |
1871100222 | Christopher Calvin | Massage Therapist | 147 Banks Sta, Fayetteville, GA 30214-7504 | 2020-09-29 |
1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
1013529957 | Sonja Renee Gibson | Massage Therapist | 275 Glynn St S, Fayetteville, GA 30214-2015 | 2020-08-21 |
1194337345 | Natalie Spencer | Massage Therapist | 3037 Boone Trail Ext Ste G, Fayetteville, NC 28304-3859 | 2020-08-19 |
1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
1942834007 | Reds of Fayetteville, LLC | Massage Therapist | 1534 Purdue Dr, Fayetteville, NC 28303-5416 | 2020-02-27 |
1568011120 | Lacana N Tenn | Massage Therapist | 106 New Hope Rd, Fayetteville, GA 30214-1360 | 2019-09-06 |
1114589645 | Prima Elements, LLC | Massage Therapist | 124 Anderson St, Fayetteville, NC 28301-5014 | 2019-07-04 |
1821565821 | Sase Chyk Enterprises, LLC | Massage Therapist | 1111 Ireland Dr Ste 103, Fayetteville, NC 28304-3329 | 2018-10-28 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28306 |
Please comment or provide details below to improve the information on TRACY RENFRO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.