Doctor Name: | MRS. TRACIE L PAULEY |
NPI Number: | 1760428775 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT,MPT |
License Number: | 004553 |
Business Practice Address: | 6003 Pleasant Colony Ct Suite 3 Crestwood, KY - 400148678 |
Business Phone Number: | 5022415597 |
Business Fax Number: | 5022416499 |
Mailing Address: | 3104 Horseshoe Ct, CRESTWOOD |
State: | KY |
Postal Code: | 400148471 |
Phone Number: | 5027492866 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 004553 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |