Individual
TRACY L KACZMARCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 MAIN ST STE H, HIGHLAND, IN 46322-3636
(219) 775-0885
Mailing address
14983 W 95TH AVE, DYER, IN 46311-3092
(219) 775-0885
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1251420666
IN
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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