Individual
TRACY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1717
(515) 271-7185
Mailing address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1717
(515) 271-7185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02588
IA
Other
Enumeration date
01/27/2006
Last updated
02/19/2020
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