Individual
TRACY MARIE LATTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3666 E BRIGHTON POINT DR, COTTONWOOD HEIGHTS, UT 84121-5555
(214) 850-4879
Mailing address
3666 E BRIGHTON POINT DR, COTTONWOOD HEIGHTS, UT 84121-5555
(214) 850-4879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
121369-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121369-2401
HOME HEALTH
UT
Enumeration date
09/25/2018
Last updated
09/25/2018
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