Healthcare Provider Details

I. General information

NPI: 1730942251
Provider Name (Legal Business Name): TRACY NICOLE FEHRING PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TRACY NICOLE LOUK PT, DPT

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4045 WADSWORTH BLVD STE 300
WHEAT RIDGE CO
80033-4626
US

IV. Provider business mailing address

PO BOX 273
WHEAT RIDGE CO
80034-0273
US

V. Phone/Fax

Practice location:
  • Phone: 720-449-6938
  • Fax:
Mailing address:
  • Phone: 720-449-6938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0012280
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: