| Doctor Name: | TRACIE ROBERTSON |
| NPI Number: | 1588044861 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 292115-2401 |
| Business Practice Address: | 7430 S 2040 E Cottonwood Heights, UT - 841214967 |
| Business Phone Number: | 8014146725 |
| Business Fax Number: | |
| Mailing Address: | 127 S. 500 E., Suite 600 SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841021971 |
| Phone Number: | 8015876336 |
| Fax Number: | 8017158228 |
| NPI Enumeration Date: | 06/02/2015 |
| NPI Last Update Date: | 08/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 292115-2401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |