Individual provider · NPI-1

Tracy Ann Ahmer, PTA

Physical Therapist · Palos Heights, IL

NPI number1982363909
StatusActive
Last updated in NPPESDec 17, 2021

Details

NPI
1982363909
Entity type
Individual (NPI-1)
Name
Tracy Ann Ahmer
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 17, 2021
Certification date
Dec 7, 2021
Last updated
Dec 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist160.002724ILYes

Practice location

12251 S 80th Ave
Palos Heights, IL 60463-1290

Phone 708-923-5050

Mailing address

12251 S 80th Ave
Palos Heights, IL 60463-1290

Phone 708-923-5050

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