Most Relevant Information
Provider Data
| NPI Number: | 1003234808 |
| Provider Name: | TRACY ANDERSON MPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1088 |
Most Important Dates
| Enumeration Date: | 03/31/2014 |
| Last Updated: | 03/31/2014 |
Provider Practice Location
2422 20TH ST SW
JAMESTOWN
ND
584016201
Practice Location Phone/Fax
| Phone: | 7019524864 |
| Fax: | 7019523251 |
Provider Mailing Location
2422 20TH ST SW
JAMESTOWN
ND
584016201
Provider Mailing Phone/Fax
| Phone: | 7019524864 |
| Fax: | 7019523251 |