MEDICARE: TRACY CARROLL P.T, C.H.T

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
1	225100000X	Physical Therapist	1483	AZ
2	2251H1200X	Hand Physical Therapist	9209001418	AZ

General Provider Information

NPI Number	:	1982627709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY CARROLL P.T, C.H.T

Provider Business Mailing Address
First Line	:	2312 N ROSEMONT BLVD
Second Line	:	SUITE 103
City	:	TUCSON
State	:	AZ
Zip	:	85712-6114
Country	:	US
Telephone Number	:	520-232-9797
Fax Number	:

Provider Business Practice Location Address
First Line	:	2312 N ROSEMONT BLVD
Second Line	:	SUITE 103
City	:	TUCSON
State	:	AZ
Zip	:	85712-6114
Country	:	US
Telephone Number	:	520-232-9797
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	09/11/2025

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Directions to “ TRACY CARROLL P.T, C.H.T” Practice Location

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