Tracy A. Powell
Physical Therapy Assistant
26 Conneaut Lake Rd
Greenville
, Pennsylvania 16125-2167
Tracy A. Powell
Physical Therapy Assistant
26 Conneaut Lake Rd
Greenville
, Pennsylvania 16125-2167
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Tracy A. Powell
- 105 N Summit Rd
- Greenville, PA
- Zip : 16125-9227
- Phone :
Second Address
- Tracy A. Powell
- 26 Conneaut Lake Rd
- Greenville, PA
- Zip : 16125-2167
- Phone : (724) 588-3001
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | TE008497 | PA |
National Provider Identifier
| NPI | 1013221613 |
|---|---|
| Provider Name | Tracy A. Powell |
| First Address | Greenville, PA 16125-9227 |
| Second Address | Greenville, PA 16125-2167 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/08/2010 |
| Last Update Date | 06/08/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.