Tracie L. Sipple, PT

Organization Active NPI Physical Therapist · Elburn, IL

NPI 1770177263 · NPPES record last updated Feb 24, 2021

Key facts

NPI
1770177263
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
TRACIE L. SIPPLE, PT
Practice address
312 E Reader St
Elburn, IL 60119-6014
Phone
(505) 220-3401
NPI assigned
Feb 24, 2021
Organization subpart
No

Authorized official

Name
Tracie Loriece Sipple, PT
Title
Physical Therapist
Phone
(505) 220-3401

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

312 E Reader St
Elburn, IL 60119-6014

Mailing address

PO Box 504
Lafox, IL 60147-0504
Phone (505) 220-3401

Other providers in Elburn, IL

All providers in Elburn, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.