Tracy Casault is a Sports Medicine in Boulder, Colorado. Tracy Casault practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Tracy Casault is 1508912197. The last update date is 2013-11-26.
Tracy Casault's current location address is 119 Ucb, Boulder, Colorado. You can contact this provider via phone number 3034925101. The mailing address for Tracy Casault is 119 Ucb, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Casault |
|---|---|
| Address | 119 Ucb, Boulder, Colorado |
| Phone Number | 3034925101 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1508912197 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2013-11-26 |
Provider Mailing Address Detail
| Address | 119 Ucb |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803090119 |
| Phone Number | 3034925101 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 45638 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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What is the unique 10-digit identification code issued to Tracy Casault by the Centers for Medicare & Medicaid Services?
The Tracy Casault has been assigned the NPI (National Provider Identifier) 1508912197 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Tracy Casault's facilities are situated?
The facilities of Tracy Casault are physically located at the following address: 119 Ucb, Boulder, CO, 803090119.
What is Tracy Casault's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tracy Casault's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508912197 to Tracy Casault?
The Centers for Medicare & Medicaid Services originally issued the 1508912197 to Tracy Casault on 2007-01-26.
When was the information regarding Tracy Casault most recently updated?
The details pertaining to the Tracy Casault, including its address, specialty, and other relevant information, were last refreshed on 2013-11-26.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA