Individual
DR. TRACY LYNN WADDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2085 N 120TH ST STE D10, OMAHA, NE 68164-3480
(402) 397-3339
(402) 399-9271
Mailing address
2085 N 120TH ST STE D10, OMAHA, NE 68164-3480
(402) 397-3339
(402) 399-9271
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1128
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350039494
PALMETTO GBA
NE
05
—
91184385200
—
NE
Enumeration date
11/21/2005
Last updated
06/18/2021
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