Individual
MRS. TRACY LYNN HERRMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(314) 822-6285
Mailing address
1922 DREXEL HILL CT, SAINT LOUIS, MO 63131-3647
(314) 650-4958
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
R1109
MO
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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