Individual
TRACY KIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2601 BROADWAY N, FARGO, ND 58102-1406
(701) 234-2900
Mailing address
2601 BROADWAY N, FARGO, ND 58102-1406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10018
CO
225100000X
Physical Therapist
4174
OK
363A00000X
Physician Assistant
Primary
—
ND
Other
Enumeration date
08/07/2008
Last updated
06/11/2019
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