Individual
TRACY COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MTRS, CTRS
Contact information
Practice address
3855 S 700 E, SLC, UT 84106-1157
(385) 405-9590
Mailing address
3880 S 2990 W, WEST HAVEN, UT 84401-2066
(385) 405-9590
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
346459-4001
UT
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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