Search › Idaho › 175T00000X
Tracie Hansen, B.S
NPI 1639779523 · on the registry since 2020 · sole proprietor
Practice
- Address
- 560 Fairway Dr
Pocatello, ID 83201 - Phone
- (208) 242-6669
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho