Timothy R Tracy, DPT | |
1420 W Ashley Rd, Boonville, MO 65233-2112 | |
(660) 882-6115 | |
Not Available |
Full Name | Timothy R Tracy |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 1420 W Ashley Rd, Boonville, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598045536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2011020510 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Physioroom, Llc | 0941552863 | 10 |
Provider Name | The Physioroom, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841786233 PECOS PAC ID: 0941552863 Enrollment ID: O20181004000283 |
Mailing Address | Practice Location Address |
---|---|
Timothy R Tracy, DPT 1420 W Ashley Rd, Boonville, MO 65233-2112 Ph: (660) 882-6115 | Timothy R Tracy, DPT 1420 W Ashley Rd, Boonville, MO 65233-2112 Ph: (660) 882-6115 |
Miss Kelley Nicole Chandler, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 W Ashley Rd, Boonville, MO 65233 Phone: 660-882-6115 Fax: 660-882-6120 | |
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