Individual
TRACEY LEE SEDLACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMP-T, MMT
Contact information
Practice address
806 HASTINGS ST, STE. N, TRAVERSE CITY, MI 49686-3454
(231) 935-4325
Mailing address
806 HASTINGS ST, BOX 1, TRAVERSE CITY, MI 49686-3454
(231) 935-4325
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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