Timothy R Tracy, D.P.T

NPI #1598045536 in Boonville, Missouri

Provider Information

NPI Number: 1598045536
Entity Type: Individual
Name: Timothy R Tracy, D.P.T
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: D.P.T
Enumeration Date: Aug 22, 2011
Last Updated: Aug 22, 2011

Practice Location

Address: 1420 W ASHLEY RD
City: Boonville
State: Missouri
ZIP Code: 65233-2112
Phone: (660) 882-6115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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