TRACY PORTER

DES MOINES, IA
NPI1780655092
Former NameTRACY BRIGHTMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IA  02588)
Enumeration Date2006-01-27
Last Update Date2020-02-19
Business Address
TRACY PORTER PT
3200 GRAND AVE
DES MOINES, IA 50312-4104
Phone number: 515-271-1717
Mailing Address
TRACY PORTER PT
3200 GRAND AVE
DES MOINES, IA 50312-4104
Phone number: 515-271-1717