Individual provider · NPI-1

Tracye N Menges, MS, ATC

Specialist/Technologist, Athletic Trainer · Lorain, OH

NPI number1508078486
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1508078486
Entity type
Individual (NPI-1)
Name
Tracye N Menges
Credential
MS, ATC
Sex
Female
Sole proprietor
Yes
Enumeration date
May 4, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAT001337OHYes

Practice location

5800 Cooper Foster Park Rd W
Lorain, OH 44053-4131

Phone 440-204-7800 · Fax 440-204-7855

Mailing address

1233 W 8th St
Lorain, OH 44052-1561

Phone 440-204-1136

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