Doctor Name: | TRACY LYNN MAGIE |
NPI Number: | 1558433714 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | DC17993 |
Business Practice Address: | 1537 Grand Ave #c San Marcos, CA - 920782424 |
Business Phone Number: | 7607521551 |
Business Fax Number: | 7604363993 |
Mailing Address: | Po Box 1176, CARDIFF |
State: | CA |
Postal Code: | 920077176 |
Phone Number: | 8585097999 |
Fax Number: | 8585093993 |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC17993 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |