Individual
TRACY MARIE SHIPPEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13825 COLE TRAILS, PLATTE CITY, MO 64079-9698
(816) 289-1548
Mailing address
13825 COLE TRAILS, PLATTE CITY, MO 64079
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17-02456
KS
225X00000X
Occupational Therapist
Primary
2009032659
MO
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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