Individual
MR. TIMOTHY MICHAEL TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR CHT
Contact information
Practice address
500 12TH AVE W STE 2F, COLUMBIA FALLS, MT 59912-3869
(406) 892-0681
Mailing address
25 HERITAGE WAY, KALISPELL, MT 59901-3100
(406) 407-7990
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
178
MT
Other
Enumeration date
09/25/2006
Last updated
08/23/2022
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