Individual provider · Type 1 NPI

Tracy Lynn Holley, PA-C

Surgical Physician Assistant · Murray, UT

NPI number 1801194097 Active

Practice location

348 E 4500 S
Murray, UT 84107-3906

Call (801) 965-3600 Map

Mailing address

2965 W 3500 S
West Valley City, UT 84119-3602

Other practice locations

  • 9844 S 1300 E Ste 100, Sandy, UT 84094-4600 · (801) 571-9433

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X343176-1206 (UT)
Surgical Physician Assistant Primary 363AS0400X343176-1206 (UT)

Surgical Physician Assistant: Definition to come...

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About NPI 1801194097

Tracy Lynn Holley, PA-C's National Provider Identifier is 1801194097, issued on Mar 11, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Murray, UT. The record was last updated on Apr 15, 2026.