Provider Demographics
NPI:1568680502
Name:MCFARLANE, TRACEY DANIELLE (PT)
Entity Type:Individual
Prefix:MS
First Name:TRACEY
Middle Name:DANIELLE
Last Name:MCFARLANE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E 2ND AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-1718
Mailing Address - Country:US
Mailing Address - Phone:727-281-8940
Mailing Address - Fax:727-281-8943
Practice Address - Street 1:1345 W BAY DR STE 403
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-2264
Practice Address - Country:US
Practice Address - Phone:727-281-8940
Practice Address - Fax:727-281-8943
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT20419225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist