Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tracey Michelle Cannon

Individual provider Physical Therapist · NPI 1710904602

Tracey Michelle Cannon is a Physical Therapist in Frederick, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006

Practice location Address checks out

626 Trail Ave
Frederick, MD 21701-4934
Phone: (301) 662-1997
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 19215 (MD)

Record details

NPI number1710904602
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2006
Last updated in NPPESJuly 10, 2008

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