Individual
MRS. TRACEYLIN SALES CROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
31-104 KAUNIHO RD., HAKALAU, HI 96710
(808) 990-2060
Mailing address
PO BOX 522, PEPEEKEO, HI 96783-0522
(808) 990-2060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1390
HI
225100000X
Physical Therapist
PTL0010328
CO
2251X0800X
Orthopedic Physical Therapist
Primary
PT1390
HI
2251X0800X
Orthopedic Physical Therapist
PTL0010328
CO
Other
Enumeration date
05/17/2007
Last updated
01/29/2026
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