Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY MARVIN BERG III, LMT
Active Sole ProprietorTRACY MARVIN BERG III, LMT is a Massage Therapist healthcare provider located in FAIRFAX, Virginia. NPI 1467068916 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · FAIRFAX, VA
Registration Details
- NPI Number
- 1467068916
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2020 (5.8551494976244 yrs)
- Last Updated
- Sep 21, 2020
- License
-
0019002906 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2700 DORR AVE APT 526FAIRFAX, VA, 220314946Browse VA providers · Browse ZIP 22031
- Phone
- 2022460724
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| MRS. IVONE CORVALAN OSBORNE | CMT | 1912155425 |
| EMMA J DUNCAN | LMT | 1467768911 |
| MRS. CYBIL S. LOUIE | LMT | 1003113440 |
| MS. LAURETTA A THOMPSON | — | 1619258746 |
| YAN LIAO | LMT ABMB | 1407105539 |
| MRS. MARIE-NOELLE CONNAUGHTON | CMT | 1043614381 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.