Individual
TRACY MURTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 TEDDY BEAR LANE, EAGLE NEST, NM 87718
(850) 567-0032
Mailing address
PO BOX 51, EAGLE NEST, NM 87718-0051
(850) 567-0032
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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