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Tracy Derickson

NPI 1871389114 · on the registry since 2025 · sole proprietor

Practice

Address
1272 Wolfhound St
Timnath, CO 80547
Phone
(970) 231-0341

Registry record

Primary taxonomy
251S00000X
251S00000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-15

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 Colorado