IndividualActive
Amy Tracy, PTA
NPI 1770365686 · Physical Therapy Assistant · Clinton, MO
Provider details
- NPI number
- 1770365686
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 116348 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
210 S 2nd St
Clinton, MO 64735-2117
Phone: (660) 885-2394
Fax: (660) 383-1650
Approximate (ZIP-level) locationGet directions
Mailing address
210 S 2nd St
Clinton, MO 64735-2117
Registry dates
- Enumerated
- 2023-10-16
- Last updated
- 2023-10-16
- Certified
- 2023-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.