Individual
TRACIE NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1107 E MATTHEWS AVE, STE. 100, JONESBORO, AR 72401-4315
(870) 933-6393
(870) 933-6763
Mailing address
4501 STILLWATER CV, JONESBORO, AR 72404-9107
(870) 243-5261
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 3797
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AR
Enumeration date
01/30/2014
Last updated
01/30/2014
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