Healthcare Provider Details

I. General information

NPI: 1609791342
Provider Name (Legal Business Name): TRACY MICHELLE LANG P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11010 HIGH NOTE AVE
LONE TREE CO
80134-7056
US

IV. Provider business mailing address

7538 PIRLOT PL
LONE TREE CO
80124-9782
US

V. Phone/Fax

Practice location:
  • Phone: 720-901-5556
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4918
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: