TRACY JO ELLIS LMT
NPI 1649664442
Contractor in Hayden Lake, ID

Active since March 19, 2015
157 W HAYDEN AVE, HAYDEN LAKE, ID 83835(509) 216-3663 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracy Jo Ellis Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY JO ELLIS LMT (NPI 1649664442) is an individual contractor provider in Hayden Lake, Idaho, licensed in Idaho (MAS-1492) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1649664442
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameTRACY JO ELLISCredential: LMT
Location Address157 W HAYDEN AVEHayden Lake, ID 83835-9650
Mailing Address1628 W Judy K DrRathdrum, ID 83858-7502 · (509) 216-3663
Sole ProprietorYes
Enumeration DateMarch 19, 2015
NPI 1649664442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License Licensed in ID · MAS-1492
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
157 W HAYDEN AVE, Hayden Lake, ID 83835

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
157 W HAYDEN AVE, STE 204
HAYDEN, ID 83835

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Ellis's NPI number?

The NPI number for Tracy Ellis is 1649664442. It was assigned to this individual provider in the NPPES registry on March 19, 2015.

Where is Tracy Ellis located?

Tracy Ellis practices at 157 W Hayden Ave, Hayden Lake, ID 83835. The listed phone number is (509) 216-3663.

What is Tracy Ellis's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Tracy Ellis was last updated on March 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.