Thornton, Tracie Lee

Thornton, Tracie Lee is an sole proprietor health care provider with primary practice located at 11 Dempsey Conn Rd , Hattiesburg MS 39401-9041. 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. Thornton, Tracie Lee can be contacted via phone (601) 297-1275.

Contact Information

Primary practice address
11 Dempsey Conn Rd Hattiesburg MS 39401-9041
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT1467 Mississippi

Profile Details

NPI number 1376916544
LBN Legal business name Thornton, Tracie Lee
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2015
Last updated Nov 9th, 2015 - about 9 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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