Doctor Name: | TRACY COKELEY |
NPI Number: | 1740321637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 070013704 |
Business Practice Address: | 7501 Goodman Rd Suite I Olive Branch, MS - 386541951 |
Business Phone Number: | 6628903382 |
Business Fax Number: | 6628903385 |
Mailing Address: | 7501 Goodman Rd, Suite I OLIVE BRANCH |
State: | MS |
Postal Code: | 386541951 |
Phone Number: | 6628903382 |
Fax Number: | 6628903385 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 08/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070013704 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
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 |