Individual
DR. TRACY JO VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10000 W 75TH ST, SUITE 250, MERRIAM, KS 66204-2209
(913) 894-1910
(877) 913-1174
Mailing address
10000 W 75TH ST, SUITE 250, MERRIAM, KS 66204-2209
(913) 894-1910
(877) 913-1174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P13567
NC
2251P0200X
Pediatric Physical Therapist
P13567
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212990
—
NC
Enumeration date
03/02/2012
Last updated
01/29/2013
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