Mrs Tammy Sue Tulacro, LPT/LAT - in Greenville, IL

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Mrs Tammy Sue Tulacro, LPT/LAT is a Specialist/technologist - Athletic Trainer based in Greenville, Illinois. Mrs Tammy Sue Tulacro is licensed to practice in Illinois (license number ) and her current practice location is 1105 E Harris Ave, Greenville, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 664-4600.

NPI number for Mrs Tammy Sue Tulacro is 1427144799 and her current mailing address is 109 Fox Hill Ct, Edwardsville, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427144799.

Contact Information

Mrs Tammy Sue Tulacro, LPT/LAT
1105 E Harris Ave,
Greenville, IL 62246-2221
(618) 664-4600
Not Available

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Healthcare Provider's Profile

Full NameMrs Tammy Sue Tulacro
GenderFemale
SpecialitySpecialist/technologist - Athletic Trainer
Location1105 E Harris Ave, Greenville, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427144799
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Tammy Sue Tulacro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427144799NPI-NPPES
0332010OtherILBCBS
734380OtherILHEALTHLINK PPO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (Illinois)Primary
2255A2300XSpecialist/technologist - Athletic Trainer (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tammy Sue Tulacro is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tammy Sue Tulacro, LPT/LAT
109 Fox Hill Ct,
Edwardsville, IL 62025-5736

Ph: (618) 655-9831		Mrs Tammy Sue Tulacro, LPT/LAT
1105 E Harris Ave,
Greenville, IL 62246-2221

Ph: (618) 664-4600

Reviews and Comments



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