MRS. Tracy Phenix

NPI #1831230614 in Rolla, Missouri

Provider Information

NPI Number: 1831230614
Entity Type: Individual
Name: MRS. Tracy Phenix
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Feb 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 500 FORUM DR
Address 2: A
City: Rolla
State: Missouri
ZIP Code: 65401-4602
Phone: (573) 458-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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