Individual
KELLY STAINBACK-TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13121 E 17TH AVE, AURORA, CO 80045-2535
(303) 864-5177
Mailing address
PO BOX 876, AURORA, CO 80040-0876
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4935
CO
Other
Enumeration date
10/25/2006
Last updated
01/07/2011
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