Individual
TRACY L EICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 SUNSHINE BLVD, SOLDIERS GROVE, WI 54655-7106
(608) 624-5422
Mailing address
15098 SIME RD, FERRYVILLE, WI 54628-7077
(608) 734-3285
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
953-019
WI
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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