Tracey Lea Liput
Tracey Lea Liput is a Prosthetic/Orthotic Supplier in Port Orange, Florida. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
4647 Clyde Morris Blvd Unit 501Port Orange, FL 32129-3001
Phone: (386) 293-1016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1487524302 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 6, 2025 |
| Last updated in NPPES | November 6, 2025 |
| Certification date | November 6, 2025 |