Diercks, Tracy Rene

Diercks, Tracy Rene is an individual health care provider with primary practice located at 7834 Hilo Pl , Diamondhead MS 39525-3721. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Diercks, Tracy Rene can be contacted via phone (228) 255-2599.

Contact Information

Primary practice address
7834 Hilo Pl Diamondhead MS 39525-3721
Phone: (228) 255-2599
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 01806R Louisiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 1079085 Texas

Profile Details

NPI number 1740242619
LBN Legal business name Diercks, Tracy Rene
Credentials DPT, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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