OrganizationTracey L Fogle(Tracey'S Boutique)Durable Medical Equipment & Medical SuppliesSuppliersPractice Address7862 N Academy Blvd, Colorado Springs, CO 80920-3920(719) 424-7565PECOS EnrollmentBased on the most recent information from CMS, provider Tracey L Fogle does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1992350318Provider TypeOrganizationFull NameTracey L FogleOther NameTracey'S BoutiqueSubpartNoEnumeration Date8/2/2019Last Updated11/16/2022Contact InformationPractice LocationPractice Address7862 N Academy Blvd, Colorado Springs, CO 80920-3920Phone(719) 424-7565Fax(719) 559-1710Mailing LocationMailing Address7862 N Academy Blvd, Colorado Springs, CO 80920-3920Phone(719) 424-7565Fax(719) 559-1710Authorized OfficialNameFogle, Tracey L (Owner)Phone(719) 424-7565Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerCode224900000XDescriptionMastectomy FitterRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer