Individual
TRACYE N MENGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
5800 COOPER FOSTER PARK RD W, LORAIN, OH 44053-4131
(440) 204-7800
(440) 204-7855
Mailing address
1233 W 8TH ST, LORAIN, OH 44052-1561
(440) 204-1136
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001337
OH
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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