Tracie L. Sipple, Pt

NPI #1770177263 in Elburn, Illinois

Provider Information

NPI Number: 1770177263
Entity Type: Organization
Organization Name: Tracie L. Sipple, Pt
Primary Specialty: Physical Therapist
Enumeration Date: Feb 24, 2021
Last Updated: Feb 24, 2021

Practice Location

Address: 312 E READER ST
City: Elburn
State: Illinois
ZIP Code: 60119-6014
Phone: (505) 220-3401

Authorized Official

Name: TRACIE LORIECE SIPPLE, PT
Title: PHYSICAL THERAPIST
Phone: (505) 220-3401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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