Individual provider · Type 1 NPI

Tracie Brock

Rehabilitation Practitioner · Redding, CA

NPI number 1083455661 Active

Practice location

3191 Churn Creek Rd
Redding, CA 96002-2123

Call (530) 224-7160 Map

Mailing address

PO Box 248
Igo, CA 96047-0248

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1083455661

Tracie Brock's National Provider Identifier is 1083455661, issued on Jun 5, 2024. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Redding, CA. The record was last updated on Jun 12, 2025.