Gothard, Tracie

Gothard, Tracie is an individual health care provider with primary practice located at 1579 Capital Ave Ne , Battle Creek MI 49017-5381. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Gothard, Tracie can be contacted via phone (269) 288-8410.

Contact Information

Primary practice address
1579 Capital Ave Ne Battle Creek MI 49017-5381
Phone: (269) 288-8410
Fax: (269) 288-8414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1730382151
LBN Legal business name Gothard, Tracie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
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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