Individual
TRACEY LYNN PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 W T COLEMAN, BOWLING GREEN, KY 42104-1059
(270) 392-0825
Mailing address
151 W T COLEMAN, BOWLING GREEN, KY 42104-1059
(270) 392-0825
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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