Tracy R Shrader PTA

NPI 1902944473 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1902944473
Gender Female
Enumeration Date 02/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1224 TROTWOOD AVE
COLUMBIA TN, 38401-4802, US
Phone (931) 380-1111
Fax
Business Location
3803 RHEA BRANCH RD
ETHRIDGE TN, 38456-7080, US
Phone (931) 424-1867
Fax
Toxanomy
Taxonomy Code 225200000X
License State Tennessee
License Number 2616
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According to our database, Tracy R Shrader PTA NPI is 1902944473, taxonomy code is 225200000X and license number is 2616, license state is located at Tennessee. Tracy R Shrader PTA physically located at 1224 Trotwood Ave, Columbia TN, 38401-4802. NPI Number Tracy R Shrader PTA has the Individual type.

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1902944473 NPI number is provided on an as is basis without warranty of any kind. 1902944473 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy R Shrader PTA are for informational purposes only.