Tracy R Shrader, PTA

NPI #1902944473 in Columbia, Tennessee

Provider Information

NPI Number: 1902944473
Entity Type: Individual
Name: Tracy R Shrader, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1224 TROTWOOD AVE
City: Columbia
State: Tennessee
ZIP Code: 38401-4802
Phone: (931) 380-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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