Tracy Goswick
Individual provider Active NPI Occupational Therapy Assistant · Winfield, TN
NPI 1134513898 · NPPES record last updated Mar 20, 2015
Key facts
- NPI
- 1134513898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- A01965 (MD)
- Practice address
- 980 Alderville Rd
Winfield, TN 37892-3644 - Phone
- (260) 467-3862
- NPI assigned
- Mar 20, 2015
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A01965 | MD | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | A01965 | MD | Yes |
Addresses
Primary practice location
980 Alderville Rd
Winfield, TN 37892-3644
Mailing address
980 Alderville Rd
Winfield, TN 37892-3644
Phone (260) 467-3862
Other providers in Winfield, TN
- Carli Shannon Anderson
- God Sent Nursing, LLC
- Brittney Makaela King
- Mountain Peoples Health Councils Inc
- Jessica Overton
- Shelby Potter
- Nicholas Tyler Steakley
All providers in Winfield, TN · Occupational Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.