Individual
TRACY KILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
5014 W OAK RIDGE DR, JASPER, IN 47546-9051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004124A
IN
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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