Individual
DR. TRACY LYNN DOUTHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DMIN
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2015002291
MO
225100000X
Physical Therapist
5501011028
MI
Other
Enumeration date
12/17/2014
Last updated
06/30/2018
Update your record
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