Tracy Kampbell, PT
Individual provider Active NPI Physical Therapist · Bloomer, WI
NPI 1477060028 · NPPES record last updated Jan 4, 2018
Key facts
- NPI
- 1477060028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 14051 (WI)
- Practice address
- 1731 17TH Ave
Bloomer, WI 54724-1512 - Phone
- (715) 568-4669
- Fax
- (715) 568-4673
- NPI assigned
- Jan 4, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14051 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14051 | WI | Yes |
Addresses
Primary practice location
1731 17TH Ave
Bloomer, WI 54724-1512
Mailing address
1731 17TH Ave
Bloomer, WI 54724-1512
Phone (715) 568-4669
Other providers in Bloomer, WI
- Janelle Hutter
- David J Irwin
- Elise Johnson
- Jenna Johnson
- Jill M Jones
- Kelley Chiropractic Center
- Brian Scott Kelley
- Clare Gabrielle Kircher
- Steven D Klund
- Marie Konzen
All providers in Bloomer, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.