Elliott, Tracey Kelly
Elliott, Tracey Kelly is an sole proprietor health care provider with primary practice located at 4 Jackson St Ne , Fort Walton Beach FL 32548-4925. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Elliott, Tracey Kelly can be contacted via phone (850) 862-7227.Contact Information
Primary practice address
4 Jackson St Ne
Fort Walton Beach FL 32548-4925
Phone: (850) 862-7227
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT22615 | Florida |
Profile Details
| NPI number | 1306971544 |
|---|---|
| LBN Legal business name | Elliott, Tracey Kelly |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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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