Tracy A. Ragan, PTA/L

Individual provider Active NPI Physical Therapy Assistant · Ashfield, MA

NPI 1164529335 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164529335
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
3587 (MA)
Practice address
467 West Rd
Ashfield, MA 01330-9723
Phone
(413) 628-4765
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3587MAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 3587 MA Yes

Addresses

Primary practice location

467 West Rd
Ashfield, MA 01330-9723

Mailing address

467 West Rd
Ashfield, MA 01330-9723

Other providers in Ashfield, MA

All providers in Ashfield, MA · Physical Therapy Assistant in Massachusetts

Sources for this page

Verify at the official NPI Registry.