Individual
DR. TRACY RENE DIERCKS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
7834 HILO PL, DIAMONDHEAD, MS 39525-3721
(228) 255-2599
Mailing address
7834 HILO PL, DIAMONDHEAD, MS 39525-3721
(228) 255-2599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
01806R
LA
2251P0200X
Pediatric Physical Therapist
Primary
1079085
TX
Other
Enumeration date
04/05/2006
Last updated
09/11/2025
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