Individual provider · Type 1 NPI

Tracie Lee Thornton, DPT

Pediatric Physical Therapist · Hattiesburg, MS

NPI number 1376916544 Active

Practice location

11 Dempsey Conn Rd
Hattiesburg, MS 39401-9041

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT1467 (MS)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1376916544

Tracie Lee Thornton, DPT's National Provider Identifier is 1376916544, issued on Nov 9, 2015. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Hattiesburg, MS. The record was last updated on Nov 9, 2015.