Most Relevant Information
Provider Data
| NPI Number: | 1003391038 |
| Provider Name: | TRACY MARIE LATTIN PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 121369-2401 |
Most Important Dates
| Enumeration Date: | 09/25/2018 |
| Last Updated: | 09/25/2018 |
Provider Practice Location
3666 E BRIGHTON POINT DR
COTTONWOOD HEIGHTS
UT
841215555
Practice Location Phone/Fax
| Phone: | 2148504879 |
| Fax: |
Provider Mailing Location
3666 E BRIGHTON POINT DR
COTTONWOOD HEIGHTS
UT
841215555
Provider Mailing Phone/Fax
| Phone: | 2148504879 |
| Fax: |