Tracy Thorson

NPI #1811418791 in Lake City, Minnesota

Provider Information

NPI Number: 1811418791
Entity Type: Individual
Name: Tracy Thorson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 30, 2017
Last Updated: Oct 31, 2018

Practice Location

Address: 507 W DOUGHTY ST
City: Lake City
State: Minnesota
ZIP Code: 55041-1500
Phone: (651) 345-2350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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