NPI 1306373675

Tracee Michelle Shepard, PTA

Practitioner Physical Medicine & Rehabilitation Physician Cape Girardeau, MO

Practice location

Address: 3120 Independence St, Cape Girardeau, MO 63703-5043
Phone: (573) 651-8242
Fax: (573) 651-8246
Mailing address: 275 Melissas Dr, Jackson, MO 63755-8813

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 117109 (MO)

Other Physical Medicine & Rehabilitation providers in Missouri →

Registry record

NPI: 1306373675
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 May 2017
Record last updated: 17 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.