# DR. TRACY LOUISE PAGE

> 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:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1093972754
- **Gender:** F
- **Credential:** M.D.,M.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 64564-20 | WI | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 40852 | AZ | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | 40852 | AZ | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | 64564-20 | WI | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 64564-20 | WI | — |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 06/02/2021