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NPI Code Detail

MEDICARE: TRACY LYNN LEWIS

MEDICARE: TRACY LYNN LEWIS
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 Therapist33.027686OH

General Provider Information

NPI Number : 1508721119
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY LYNN LEWIS
Provider Business Mailing Address
First Line : 3845 TRUEMAN CT
Second Line :
City : HILLIARD
State : OH
Zip : 43026-2496
Country : US
Telephone Number : 614-767-0162
Fax Number : 614-767-0164
Provider Business Practice Location Address
First Line : 3845 TRUEMAN CT
Second Line :
City : HILLIARD
State : OH
Zip : 43026-2496
Country : US
Telephone Number : 614-767-0162
Fax Number : 614-767-0164
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ TRACY LYNN LEWIS ” Practice Location

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