NPI 1306541495
Traci Ricketts
Practice location
- Address
- 6770 W Cambridge Dr, Wasilla, AK 99623-9825
- Phone
- (907) 351-1966
Registered specialties
Health & Wellness Coach
Primary
Registry record
- NPI
- 1306541495
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Mar 2023
- Record last updated
- 30 Mar 2023
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.