TRACY JO ELLIS LMT NPI 1649664442

NPI Information

  • NPI: 1649664442
  • Provider Name: TRACY JO ELLIS, LMT
  • Classification: Contractor - 171W00000X
  • Entity Type: Individual
  • Address: 157 W HAYDEN AVE
    HAYDEN LAKE, ID
    ZIP 83835
  • Phone: (509) 216-3663

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NPI Details

Tracy Jo Ellis, LMT is a contractor in Hayden Lake, ID. The provider is for the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status. Tracy Jo Ellis, LMT NPI is 1649664442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

157 W HAYDEN AVE
HAYDEN LAKE, ID
ZIP 83835-650
Phone: (509) 216-3663

The enumeration date for this NPI number is 3/19/2015 and was last updated on 3/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171W00000XContractorMAS-1492IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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