Provider Demographics
NPI:1447383120
Name:STEADY HARDCASTLE, TRACEY MEGAN (LAC)
Entity Type:Individual
Prefix:
First Name:TRACEY
Middle Name:MEGAN
Last Name:STEADY HARDCASTLE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 N UNDERMOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01257-9735
Mailing Address - Country:US
Mailing Address - Phone:413-429-5225
Mailing Address - Fax:
Practice Address - Street 1:140 WEST AVE
Practice Address - Street 2:
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-1823
Practice Address - Country:US
Practice Address - Phone:413-429-5225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA231923171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist