# TRACY LEE GABBERT

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

## Provider details

- **NPI number:** 1518963057
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN0400X | Neurology Chiropractor | 361 | MT | Yes |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 08/27/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0160199 | — | MT |
| 05 | — | 0162929 | — | MT |
| 01 | — | 41410 | BC/BS OF MT | MT |