# INTEGRATED SPORTS & SPINE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013200021
- **Authorized official:** DR. MICHAEL B TRACY M.D. (PRESIDENT)
- **Authorized official phone:** (303) 926-7360

## Contact information

- **Practice address:** 380 EMPIRE RD STE 120, LAFAYETTE, CO 80026-2677
- **Practice address phone:** (303) 926-7360
- **Practice address fax:** (303) 926-7359
- **Mailing address:** 380 EMPIRE RD STE 200, LAFAYETTE, CO 80026-2677
- **Mailing address phone:** (303) 926-7360
- **Mailing address fax:** (303) 926-7359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2011
- **Last updated:** 01/19/2012