Individual provider · Type 1 NPI

Tracy Vickers

Attendant Care Provider · Springfield, MO

NPI number 1669074498 Active

Practice location

2690 S Pembrook Ave
Springfield, MO 65807-0910

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1669074498

Tracy Vickers's National Provider Identifier is 1669074498, issued on Nov 16, 2020. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Springfield, MO. The record was last updated on Nov 23, 2020.