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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TRACY RAE JOHANNECK-UTPHALL, COTA

Active

MRS. TRACY RAE JOHANNECK-UTPHALL, COTA is a Occupational Therapy Assistant healthcare provider located in RACINE, Wisconsin. NPI 1730416769 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · RACINE, WI

Registration Details

NPI Number
1730416769
Provider Type
Individual
Gender
Female
NPI Issued
Nov 12, 2009 (16.713187529649 yrs)
Last Updated
Nov 12, 2009
License
1193-27 (WI)

Practice Information

Address
3248 SHORTRIDGE DR
RACINE, WI, 534021367
Browse WI providers · Browse ZIP 53402
Phone
4145506670
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in RACINE, WI

Name Credential NPI
AMY G BROWN COTA 1245457191
DANIELLE MARIE WEBER COTA 1225256605
MRS. SARA BETH SCHATTNER C.O.T.A. 1275754848
DENISE A KELLER COTA 1023284239
MRS. KATIE FIONA JERDEE COTA 1760633937
KAREN SUE ALLEN COTA 1598097818
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.