Tracee Michelle Shepard, P.T.A.
Physical Medicine & Rehabilitation in Cape Girardeau, MO. Individual provider (NPI-1).
NPI number1306373675
StatusActive
Last updated in NPPESMay 17, 2017
Details
- NPI
- 1306373675
- Entity type
- Individual (NPI-1)
- Name
- Tracee Michelle Shepard
- Credential
- P.T.A.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2017
- Last updated
- May 17, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 117109 | MO | Yes |
Practice location
3120 Independence StCape Girardeau, MO 63703-5043
Phone 573-651-8242 · Fax 573-651-8246
Mailing address
275 Melissas DrJackson, MO 63755-8813
Phone 573-587-2342
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Medicine & Rehabilitation Physician providers in Cape Girardeau, MO
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- Charissa Lea GriggsNPI 1396402368
- Anna Maria Guidos, MDNPI 1699723916
- Paul Joseph Guidos, M.D.NPI 1316020928
- Im S Hong, MDNPI 1366510992
- Heidi Hunter, MDNPI 1992917785
- Gladys Grace Tiwonge Kamanga-Sollo, MDNPI 1003115536
- Matthew W Karshner, MDNPI 1477598142
All 9 Physical Medicine & Rehabilitation Physician providers in Cape Girardeau · All 2,422 providers in Cape Girardeau
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