Provider Demographics
NPI:1780850602
Name:TRIPP, NANCY C (LMT)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:C
Last Name:TRIPP
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 1:45 WASHINGTON ST STE 12
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03818-6055
Mailing Address - Country:US
Mailing Address - Phone:603-447-2831
Mailing Address - Fax:
Practice Address - Street 1:45 WASHINGTON ST STE 12
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03818-6055
Practice Address - Country:US
Practice Address - Phone:603-447-2831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH#2448M172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist