Individual
TRACIE LYNN BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
3504 VALLEYWOOD DR, KETTERING, OH 45429-4237
(937) 510-4428
Mailing address
3504 VALLEYWOOD DR, KETTERING, OH 45429-4237
(937) 510-4428
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
4547
OH
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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