Provider Demographics
NPI:1659457695
Name:ADAMS, TRACY J (PT)
Entity Type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:J
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:TRACY
Other - Middle Name:J
Other - Last Name:STOCKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:76 BOWKER ST
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-4611
Mailing Address - Country:US
Mailing Address - Phone:603-543-0411
Mailing Address - Fax:603-543-0071
Practice Address - Street 1:21 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743
Practice Address - Country:US
Practice Address - Phone:603-543-0081
Practice Address - Fax:603-543-0071
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2938225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist