Provider Demographics
NPI:1821311895
Name:BAILEY, TRACY CELIA (DC)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:CELIA
Last Name:BAILEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 TYNAN DR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-7027
Mailing Address - Country:US
Mailing Address - Phone:720-442-5896
Mailing Address - Fax:
Practice Address - Street 1:500 COFFMAN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5451
Practice Address - Country:US
Practice Address - Phone:720-600-8682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007111111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor