Individual
MRS. TRACY LYNN HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
348 E 4500 S, MURRAY, UT 84107-3906
(801) 965-3600
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
343176-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
343176-1206
UT
Other
Enumeration date
03/11/2011
Last updated
04/15/2026
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