Tracey L Fogle
Tracey L Fogle is a Mastectomy Fitter in Colorado Springs, Colorado. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
7862 N Academy BlvdColorado Springs, CO 80920-3920
Phone: (719) 424-7565
Fax: (719) 559-1710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|---|
| Mastectomy Fitter | Taxonomy 224900000X |
Record details
| NPI number | 1992350318 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tracey Fogle — Owner · (719) 424-7565 |
| Other names | Tracey'S Boutique |
| NPI enumerated | August 2, 2019 |
| Last updated in NPPES | June 19, 2024 |
| Certification date | June 19, 2024 |
| Mailing address | 7862 N Academy Blvd, Colorado Springs, CO 80920-3920 |
Other providers in Colorado Springs
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Tracey L Fogle
1710 Briargate Blvd Ste 840, Colorado Springs, CO 80920-3456 · (719) 649-6362