Individual
MRS. TRACY MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
303 N HURSTBOURNE PARKEWAY, SUITE 200, LOUSIVILLE, KY 40222
(502) 412-5847
Mailing address
303 N HURSTBOURNE PARKEWAY, SUITE 200, LOUSIVILLE, KY 40222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004556A
IN
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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