Individual
MS. TRACY DAWN SUMMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
501 N 3RD ST, PADUCAH, KY 42001-0749
(127) 044-4966
(270) 443-9407
Mailing address
3536 OLIVET CHURCH RD, PADUCAH, KY 42001-9618
(270) 444-9661
(127) 043-9407
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01423
KY
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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