Provider Demographics
NPI:1700229085
Name:KRINN, TRACEY ANN (PT)
Entity Type:Individual
Prefix:MRS
First Name:TRACEY
Middle Name:ANN
Last Name:KRINN
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 1:13327 HILLWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-1422
Mailing Address - Country:US
Mailing Address - Phone:727-457-4247
Mailing Address - Fax:
Practice Address - Street 1:13327 HILLWOOD CIR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-1422
Practice Address - Country:US
Practice Address - Phone:727-457-4247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT18046225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist