Tracy Green, P.T.A.
Physical Therapy Assistant in Temple, TX. Individual provider (NPI-1).
NPI number1730487828
StatusActive
Last updated in NPPESMar 14, 2011
Details
- NPI
- 1730487828
- Entity type
- Individual (NPI-1)
- Name
- Miss Tracy Green
- Credential
- P.T.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2011
- Last updated
- Mar 14, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2050627 | TX | Yes |
Practice location
2401 S 31st StTemple, TX 76508-2111
Phone 254-724-2111
Mailing address
Po Box 847556Dallas, TX 75284-7556
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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.
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All 56 Physical Therapy Assistant providers in Temple · All 5,096 providers in Temple
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