Individual
TRACY HEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1614 W BUSINESS US HIGHWAY 60, DEXTER, MO 63841-2837
(573) 624-9222
Mailing address
16189 COUNTRY LN, DEXTER, MO 63841-8711
(573) 624-2693
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01914
LICENSE#
MO
Enumeration date
11/20/2006
Last updated
05/27/2008
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