Tracy Lynn Boesch PTA

NPI 1245669050 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1245669050
Gender Female
Enumeration Date 11/02/2013
Last Updated 11/02/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
CASS CITY MI, 48726-1049, US
Phone (989) 872-2174
Fax (989) 872-2204
Business Location
SEBEWAING MI, 48759-9756, US
Phone (810) 853-8992
Fax (989) 872-2204
Taxonomy Code 225200000X
License State Michigan
License Number 5502001175
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According to our database, Mrs. Tracy Lynn Boesch PTA NPI is 1245669050, taxonomy code is 225200000X and license number is 5502001175, license state is located at Michigan. Tracy Lynn Boesch PTA physically located at 4782 Hospital Dr, Cass City MI, 48726-1049. NPI Number Tracy Lynn Boesch PTA has the Individual type.

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1245669050 NPI number is provided on an as is basis without warranty of any kind. 1245669050 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Lynn Boesch PTA are for informational purposes only.