Doctor Name: | MRS. TRACY LYNN CORDAY |
NPI Number: | 1447567409 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 02122 |
Business Practice Address: | 815 W Tower Park Dr Waterloo, IA - 507019026 |
Business Phone Number: | 3192336995 |
Business Fax Number: | 3192337083 |
Mailing Address: | 815 W Tower Park Dr, WATERLOO |
State: | IA |
Postal Code: | 507019026 |
Phone Number: | 3192336995 |
Fax Number: | 3192337083 |
NPI Enumeration Date: | 09/10/2010 |
NPI Last Update Date: | 09/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02122 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |