Individual
MRS. JESSICA ANN TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10184 E I25 FRONTAGE RD, FIRESTONE, CO 80504-5445
(954) 599-4944
Mailing address
604 W WASHINGTON ST STE B, CARSON CITY, NV 89703-3828
(775) 882-5001
(775) 882-5015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2795
NV
225100000X
Physical Therapist
PT27419
FL
225100000X
Physical Therapist
Primary
PTL0014715
CO
Other
Enumeration date
09/12/2012
Last updated
03/17/2018
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