Individual provider · NPI-1
Tracy Slemker, CPO LPO
Prosthetist · Richmond, IN
NPI number1174207872
StatusActive
Last updated in NPPESJun 13, 2023
Details
- NPI
- 1174207872
- Entity type
- Individual (NPI-1)
- Name
- Mr. Tracy Slemker
- Credential
- CPO LPO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 13, 2023
- Certification date
- Jun 13, 2023
- Last updated
- Jun 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | 114 | OH | Yes |
Practice location
2011 Chester BlvdRichmond, IN 47374-1214
Phone 765-756-5014 · Fax 765-488-1165
Mailing address
2011 Chester BlvdRichmond, IN 47374-1214
Phone 765-756-5014 · Fax 765-488-1165
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