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NPI Code Detail

MEDICARE: TRACY HAND & OCCUPATIONAL THERAPY

MEDICARE: TRACY HAND & OCCUPATIONAL THERAPY
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
1332B00000XDurable Medical Equipment & Medical Supplies178MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730394651
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRACY HAND & OCCUPATIONAL THERAPY
Provider Business Mailing Address
First Line : 111 SUNNYVIEW LN STE C
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3164
Country : US
Telephone Number : 406-752-7581
Fax Number : 406-752-7584
Provider Business Practice Location Address
First Line : 111 SUNNYVIEW LN STE C
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3164
Country : US
Telephone Number : 406-752-7581
Fax Number : 406-752-7584
Authorized Official
Title or Position : OWNER
Name : MR. TIMOTHY M TRACY
Credential : OT
Telephone Number : 406-752-7581
Provider Enumeration Date : 05/14/2007
Last Update Date : 09/27/2010

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111 SUNNYVIEW LN
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59901-3164
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1215969936 — ERIK L SCHROEDER MD
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1528084399 — CHRISTOPHER C. MCEWEN MD
Practice Location Address:
111 SUNNYVIEW LN
KALISPELL, MT
59901-3164
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Practice Fax:
1588774574 — FLATHEAD VALLEY ORTHOPEDIC CENTER, P.C.
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1013028950 — LAWRENCE JOHN IWERSEN M.D.
Practice Location Address:
111 SUNNYVIEW LN
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1730290610 — STANLEY HARLAND MAKMAN M.D.
Practice Location Address:
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59901-3164
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Practice Fax: 406-257-0253

Directions to “TRACY HAND & OCCUPATIONAL THERAPY ” Practice Location

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