Individual
TRACY EUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
336 N BELMONT DR, MANKATO, MN 56001-5234
(507) 276-1650
Mailing address
336 N BELMONT DR, MANKATO, MN 56001-5234
(507) 276-1650
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
A337
MN
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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