Tracy L Pulley in Ballwin - Sports Medicine

Tracy L Pulley - NPI 1124237490

Tracy L Pulley is a Sports Medicine in Ballwin, Missouri. Tracy L Pulley practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Tracy L Pulley is 1124237490. The last update date is 2007-07-08.

Tracy L Pulley's current location address is 13537 Barrett Parkway Dr, Ballwin, Missouri. You can contact this provider via phone number 3148219126. The mailing address for Tracy L Pulley is 13537 Barrett Parkway Dr, Ballwin, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy L Pulley
Address 13537 Barrett Parkway Dr, Ballwin, Missouri
Phone Number 3148219126
Fax Number
Sole Proprietor N
Credentials ATC

NPI Number Detail

NPI Number 1124237490
Provider Enumeration Date 2007-05-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 13537 Barrett Parkway Dr
City Ballwin
State Missouri (MO)
Post Code 630215899
Phone Number 3148219126
Fax Number

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 2081S0010X
Licence No 2003026732
Definition:
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of

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FAQs about Tracy L Pulley

What is the unique identifier code issued to Tracy L Pulley by the Centers for Medicare & Medicaid Services (CMS)?

The Tracy L Pulley has been assigned the NPI (National Provider Identifier) 1124237490. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Tracy L Pulley's physical address?

The Tracy L Pulley is physically located at 13537 Barrett Parkway Dr, in the city of Ballwin, MO, with the postal code 630215899.

What is Tracy L Pulley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tracy L Pulley is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 2081S0010X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1124237490 to Tracy L Pulley?

The Centers for Medicare & Medicaid Services originally issued the 1124237490 to Tracy L Pulley on 2007-05-22.

As of what date were the Tracy L Pulley's details last updated?

The information pertaining to the Tracy L Pulley, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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