| Tracie Loriece Sipple, PT | |
|
312 E Reader St, Elburn, IL 60119 | |
| (505) 220-3401 | |
| Not Available |
| Full Name | Tracie Loriece Sipple |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 312 E Reader St, Elburn, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205836707 | NPI | - | NPPES |
| 2646 | Other | NM | STATE OF NM REG & LICENS. |
| P00348972 | Other | NM | RAILROAD MEDICARE |
| 000Q0406 | Other | NM | MEDICAID GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2646 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tracie Loriece Sipple, PT Po Box 504, Lafox, IL 60147 Ph: (505) 220-3401 | Tracie Loriece Sipple, PT 312 E Reader St, Elburn, IL 60119 Ph: (505) 220-3401 |
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