Provider Demographics
NPI:1245883057
Name:NORRIS, TRACY A (DC)
Entity type:Individual
Prefix:DR
First Name:TRACY
Middle Name:A
Last Name:NORRIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 N TYLER RD STE 112
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-4916
Mailing Address - Country:US
Mailing Address - Phone:316-530-1504
Mailing Address - Fax:316-942-5442
Practice Address - Street 1:2020 N TYLER RD STE 112
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-4916
Practice Address - Country:US
Practice Address - Phone:316-530-1504
Practice Address - Fax:316-942-5442
Is Sole Proprietor?:No
Enumeration Date:2019-07-21
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03845111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor