IndividualActive
Tracy Ellis, LMT
NPI 1649664442 · Contractor · Hayden Lake, ID
Tracy Ellis, LMT is a Contractor provider in Hayden Lake, ID (NPI 1649664442).
Provider details
- NPI number
- 1649664442
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MAS-1492 (ID)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
157 W Hayden Ave
Hayden Lake, ID 83835-9650
Phone: (509) 216-3663
Street-level locationGet directions
Mailing address
1628 W Judy K Dr
Rathdrum, ID 83858-7502
Registry dates
- Enumerated
- 2015-03-19
- Last updated
- 2015-03-19
Frequently asked questions
- What is Tracy Ellis's NPI number?
- Tracy Ellis's National Provider Identifier (NPI) is 1649664442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracy Ellis's specialty?
- Tracy Ellis is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).
- Where is Tracy Ellis located?
- Tracy Ellis's practice location on file with NPPES is 157 W Hayden Ave, Hayden Lake, ID 83835-9650.
- What is Tracy Ellis's phone number?
- The practice phone number listed in the NPPES registry for Tracy Ellis is (509) 216-3663.
- Is Tracy Ellis's NPI active?
- Yes — Tracy Ellis's NPI (1649664442) is active in the NPPES registry as of the last update on 2015-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.