Provider Demographics
NPI:1326624800
Name:TRACY D ADAMS DBA TRINITY ORTHOTICS & PEDORTHICS
Entity Type:Organization
Organization Name:TRACY D ADAMS DBA TRINITY ORTHOTICS & PEDORTHICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:CPED, COF
Authorized Official - Phone:256-735-4393
Mailing Address - Street 1:3192 AL HIGHWAY 157
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35058-0686
Mailing Address - Country:US
Mailing Address - Phone:256-735-4393
Mailing Address - Fax:256-735-4396
Practice Address - Street 1:3192 AL HIGHWAY 157
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-0686
Practice Address - Country:US
Practice Address - Phone:256-735-4393
Practice Address - Fax:256-735-4396
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1770082661
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Multi-Specialty