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Contact Information

TRACIE L KING, PTA
500 N CAPITOL AVE UNIT A
INDIANAPOLIS, IN46204
 Phone: 317-983-5400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for TRACIE L KING · (Female)

NPI # 1457853962
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 03/01/2018
Last updated 03/01/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 06005656A
  • IN License # 06005656A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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