Tracie Adkins, OTRL

Individual provider Active NPI Occupational Therapist · Louisville, KY

NPI 1083035539 · NPPES record last updated Dec 31, 2013

Key facts

NPI
1083035539
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5201007136 (MI)
Practice address
303 N Hurstbourne Pkwy
Suite 200
Louisville, KY 40222-5185
Phone
(502) 412-5847
NPI assigned
Dec 31, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5201007136MIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201007136 MI Yes

Addresses

Primary practice location

303 N Hurstbourne Pkwy
Suite 200
Louisville, KY 40222-5185

Mailing address

316 E Naldrette St
Durand, MI 48429-1737
Phone (989) 213-5313

Other providers in Louisville, KY

All providers in Louisville, KY · Occupational Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.