TRACY ELLIS, LMT
Contractor
Active
Individual
NPI: 1649664442
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | Yes | MAS-1492 (ID) |
Frequently Asked Questions
NPI 1649664442 is the National Provider Identifier for TRACY ELLIS, LMT, a Contractor provider located in Hayden Lake, ID. This NPI was enumerated on March 19, 2015.
TRACY ELLIS, LMT practices at 157 W HAYDEN AVE, Hayden Lake, ID 83835.
Quick Facts
- NPI
- 1649664442
- Type
- Individual
- Enumerated
- Mar 19, 2015
- Last Updated
- Mar 19, 2015
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