Individual
SARAH MAE TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AT, ATC
Contact information
Practice address
5680 VENTURE DR, DUBLIN, OH 43017-2190
(614) 355-8736
Mailing address
1143 WIMBELDON BLVD, COLUMBUS, OH 43228-9326
(740) 504-6311
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
AT005913
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000035614
BOARD OF CERTIFICATION FOR ATHLETIC TRAINERS
—
Enumeration date
08/07/2019
Last updated
08/07/2019
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