Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Traci Churchill

Individual provider Physical Therapy Assistant · NPI 1164295762

Traci Churchill is a Physical Therapy Assistant in De Soto, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2023
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Practice location Address checks out

1114 Williams St
De Soto, MO 63020-1148
Phone: (636) 375-8240
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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 2019027403 (MO)

Record details

NPI number1164295762
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 6, 2023
Last updated in NPPESNovember 6, 2023
Certification dateNovember 5, 2023

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