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NPI Code Detail

MEDICARE: MARTI TRACY

MEDICARE: MARTI TRACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist8132441-4701UT

General Provider Information

NPI Number : 1376232611
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTI TRACY
Provider Business Mailing Address
First Line : 1813 N HILL FIELD RD
Second Line :
City : LAYTON
State : UT
Zip : 84041-2143
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2348 KIESEL AVE
Second Line :
City : OGDEN
State : UT
Zip : 84401-1964
Country : US
Telephone Number : 801-528-5066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2023
Last Update Date : 05/03/2023

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Directions to “ MARTI TRACY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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