Organization
TRACY HAND & OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY MICHAEL TRACY OTR CHT (OWNER)
(406) 752-7581
Entity
Organization
Contact information
Practice address
111 SUNNYVIEW LANE, SUITE C, KALISPELL, MT 59901-3164
(406) 752-7581
(406) 752-7584
Mailing address
111 SUNNYVIEW LANE, SUITE C, KALISPELL, MT 59901-3164
(406) 752-7581
(406) 752-7584
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
178
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730394651
DME
MT
05
—
1962593889
—
MT
Enumeration date
09/27/2006
Last updated
05/21/2016
Update your record
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