Individual
KACI MARIE TRACZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11225 ULYSSES ST NE, BLAINE, MN 55434-4261
(763) 302-2600
(763) 302-2601
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10690
MN
Other
Enumeration date
06/08/2017
Last updated
09/27/2022
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