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Tracy Ellis, LMT
NPI 1649664442 · on the registry since 2015 · sole proprietor
Practice
- Address
- 157 W Hayden Ave
Hayden Lake, ID 83835 - Phone
- (509) 216-3663
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-03-19
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