Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 6469 | TN |
N | 225200000X | Physical Therapy Assistant | 602-019 | WI |
NPI | 1033305586 |
---|---|
Provider Name | Mrs. Traci Lynn Sawyer |
First Address | Memphis, TN 38120-4038 |
Second Address | Memphis, TN 38120-4038 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2007 |
Last Update Date | 24/11/2021 |