Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACEY G ANDERSON
Active Sole ProprietorTRACEY G ANDERSON is a Occupational Therapist healthcare provider located in HERITAGE, Tennessee. NPI 1912460965 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · HERITAGE, TN
Registration Details
- NPI Number
- 1912460965
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 8, 2019 (7.3568960536995 yrs)
- Last Updated
- Apr 8, 2019
- License
-
OT36200 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3515 CENTRAL PIKESUITE 104HERITAGE, TN, 37066Browse TN providers · Browse ZIP 37066
- Phone
- 8003812195
- Fax
- 8883810822
- Primary Specialty
-
Occupational Therapist
225X00000X
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.