IndividualActive
Tracie Fortney
NPI 1407132608 · Reflexologist · Lakeside, CA
Provider details
- NPI number
- 1407132608
- Entity type
- Individual
- Primary specialty
- ReflexologistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25412 (CA)
Specialties & taxonomies
Other Service Providers
Practice location
9816 Vine St
Lakeside, CA 92040-3119
Phone: (619) 905-9251
Approximate (ZIP-level) locationGet directions
Mailing address
9757 Marilla Dr Apt 204
Lakeside, CA 92040-2862
Registry dates
- Enumerated
- 2011-11-01
- Last updated
- 2011-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.