Individual
MRS. TRACY A FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
5307 YELLOWSTONE RD, CHEYENNE, WY 82009-4736
(307) 632-7677
(307) 778-8292
Mailing address
PO BOX 20168, CHEYENNE, WY 82003-7004
(307) 632-7677
(307) 778-8292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1096
WY
225100000X
Physical Therapist
6994
CO
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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