Individual
TRACY STEWART THELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1713 ARBOR WAY, COLORADO SPRINGS, CO 80905-2128
(719) 332-5868
Mailing address
1713 ARBOR WAY, COLORADO SPRINGS, CO 80905-2128
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
8379
CO
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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