Provider Demographics
NPI:1386838373
Name:NAPERT, TRACY ANN (LMT)
Entity Type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:ANN
Last Name:NAPERT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 FAUNCE CORNER RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:N DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-1261
Mailing Address - Country:US
Mailing Address - Phone:508-997-4158
Mailing Address - Fax:508-997-3262
Practice Address - Street 1:88 FAUNCE CORNER RD
Practice Address - Street 2:SUITE 210
Practice Address - City:N DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-1261
Practice Address - Country:US
Practice Address - Phone:508-997-4158
Practice Address - Fax:508-997-3262
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-01
Last Update Date:2007-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2007-MT-36174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist