Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tracie Anne Vidas, PTA

Individual provider Physical Therapy Assistant · NPI 1760742589

Mrs. Tracie Anne Vidas, PTA is a Physical Therapy Assistant in Kenosha, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4313 Washington Rd
Kenosha, WI 53144-1501
Phone: (262) 654-2800
Fax: (262) 654-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1101-19 (WI)

Record details

NPI number1760742589
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 26, 2012
Last updated in NPPESMay 26, 2012

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