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Tracy Lee Reidel

Physical Therapy Assistant in Port Saint Lucie, FL. Individual provider (NPI-1).

NPI number1972467132
StatusActive
Last updated in NPPESDec 12, 2025

Details

NPI
1972467132
Entity type
Individual (NPI-1)
Name
Tracy Lee Reidel
Sex
Female
Sole proprietor
No
Enumeration date
Dec 12, 2025
Certification date
Dec 12, 2025
Last updated
Dec 12, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant26579FLYes

Practice location

244 Sw Uneeda Pl
Port Saint Lucie, FL 34953-5487

Phone 716-481-3390

Mailing address

244 Sw Uneeda Pl
Port Saint Lucie, FL 34953-5487

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Other Physical Therapy Assistant providers in Port Saint Lucie, FL

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