Provider Demographics
NPI:1144551995
Name:ROBINSON, TRACY M (ND)
Entity type:Individual
Prefix:DR
First Name:TRACY
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14897 E WESLEY AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2540
Mailing Address - Country:US
Mailing Address - Phone:303-888-1919
Mailing Address - Fax:
Practice Address - Street 1:5400 WARD RD
Practice Address - Street 2:BLDG 1 STE 100
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1819
Practice Address - Country:US
Practice Address - Phone:720-225-9036
Practice Address - Fax:720-293-9604
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-19
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1006175F00000X
CO0000036175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath