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TRACY BROOMELL DPT

Individual Provider (NPI-1) Active

Physical Therapist

Provider Information

NPI Number
1861977530
Provider Type
Individual Provider (NPI-1)
Credentials
DPT
Status
Active

Contact & Location

Address
4025 CHERRY AVE NE, KEIZER, OR, 973034859
Phone
(503) 390-9009

Specialties & Taxonomies

Physical Therapist License: MI #5501018836
Physical Therapist Primary License: OR #62970

All Addresses

MAILING

7614 RAVENSWOOD DR

PORTAGE, MI, 490245020

(269) 501-8640

LOCATION

4025 CHERRY AVE NE

KEIZER, OR, 973034859

(503) 390-9009