IndividualActive
Tracy Dyches
NPI 1740755818 · Contractor · North Salt Lake, UT
Provider details
- NPI number
- 1740755818
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LIC201302868 (UT)
Specialties & taxonomies
Other Service Providers
Practice location
200 S Orchard Dr Ste 2
North Salt Lake, UT 84054-1801
Phone: (801) 664-6301
Approximate (ZIP-level) locationGet directions
Mailing address
200 S Orchard Dr Ste 2
North Salt Lake, UT 84054-1801
Registry dates
- Enumerated
- 2018-10-04
- Last updated
- 2018-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.