Doctor Name: | TRACY LEE CAMPBELL |
NPI Number: | 1275573511 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 05008269A |
Business Practice Address: | 2102 Evans Ave Valparaiso, IN - 463834095 |
Business Phone Number: | 2194760377 |
Business Fax Number: | 2194760388 |
Mailing Address: | 1790 Wedgewood Ct, CROWN POINT |
State: | IN |
Postal Code: | 463075311 |
Phone Number: | 2198645790 |
Fax Number: | 2198645790 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 04/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05008269A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |