Individual
TRACY ANN MIDWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 WILBRAHAM RD, SPRINGFIELD, MA 01119-2612
(413) 782-1599
Mailing address
28 JAEGER DR, WESTFIELD, MA 01085-5120
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3144
MA
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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