Whalio Doctors

NPI 1164793394

Tracy Dawn Garza, LPT

Practitioner Licensed Psychiatric Technician Broomfield, CO

Practice location

Address
12621 Zuni St APT 17-102, Broomfield, CO 80020-3806
Phone
(719) 924-2443

Registered specialties (2)

Licensed Psychiatric Technician Primary
Nursing Service Providers Taxonomy 167G00000X Licence MI-4601 (CO)
Nurse's Aide
Nursing Service Related Providers Taxonomy 376K00000X Licence NA-365660 (CO)

Registry record

NPI
1164793394
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Jan 2012
Record last updated
19 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.