Marcine Theresa Tracy, MA, ATC
Individual provider Active NPI Athletic Trainer · Bellevue, IA
NPI 1770528531 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1770528531
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 30143 395TH Ave
Bellevue, IA 52031-9646 - Phone
- (563) 872-3005
- NPI assigned
- Jun 17, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
30143 395TH Ave
Bellevue, IA 52031-9646
Mailing address
30143 395TH Ave
Bellevue, IA 52031-9646
Phone (563) 872-3005
Other providers in Bellevue, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.