Individual
TRACY DAVIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
806 S KINGSHIGHWAY ST, SIKESTON, MO 63801-5919
(573) 471-0110
(573) 472-1880
Mailing address
806 S KINGSHIGHWAY ST, SIKESTON, MO 63801-5919
(573) 471-0110
(573) 472-1880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11613
MO
Other
Enumeration date
04/13/2006
Last updated
02/07/2014
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