Tracy L Pulley, ATC
Physical Medicine & Rehabilitation, Sports Medicine in Ballwin, MO. Individual provider (NPI-1).
NPI number1124237490
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124237490
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tracy L Pulley
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | 2003026732 | MO | Yes |
Other names
- Tracy McLees (Former Name)
Practice location
13537 Barrett Parkway DrSuite 105
Ballwin, MO 63021-5899
Phone 314-821-9126
Mailing address
644 S Pam AveSaint Charles, MO 63301-4857
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