Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TRACIE RENEE GRAHAM, O.T.
Active Sole ProprietorMRS. TRACIE RENEE GRAHAM, O.T. is a Specialist healthcare provider located in WEST MEMPHIS, Arkansas. NPI 1265550875 is currently active in the NPPES registry. Verify at CMS.
Specialist · WEST MEMPHIS, AR
Registration Details
- NPI Number
- 1265550875
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2007 (19.360715263073 yrs)
- Last Updated
- Jul 9, 2007
- License
-
OTR1280 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
413 W. TYLER COVEWEST MEMPHIS, AR, 72301Browse AR providers · Browse ZIP 72301
- Phone
- 8707331200
- Fax
- 8707323269
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.