Tracie Loriece Sipple, PT

NPI #1205836707 in Elburn, Illinois

Provider Information

NPI Number: 1205836707
Entity Type: Individual
Name: Tracie Loriece Sipple, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 26, 2005
Last Updated: Mar 22, 2021

Practice Location

Address: 312 E READER ST
City: Elburn
State: Illinois
ZIP Code: 60119
Phone: (505) 220-3401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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