Individual provider · Type 1 NPI
Tracey L. Fogle
Mastectomy Fitter · Colorado Springs, CO
NPI number
1508364845
Active
Practice location
1710 Briargate Blvd Ste 840
Colorado Springs, CO 80920-3456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | None listed |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
About NPI 1508364845
Tracey L. Fogle's National Provider Identifier is 1508364845, issued on Jan 31, 2018. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Colorado Springs, CO. The record was last updated on Feb 20, 2020.