Individual
MRS. TRACIE CAROL TARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
200 NORFLEET DR, SOMERSET, KY 42501-1952
(606) 678-5104
(606) 677-1925
Mailing address
512 HIDDEN LOOP DR, SOMERSET, KY 42503-9610
(606) 678-8069
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AO1119
KY
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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