Tracy L Radke in Weston - Occupational Therapist
Tracy L Radke - NPI 1659489458
Tracy L Radke is a Occupational Therapist in Weston, Wisconsin. Tracy L Radke practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Tracy L Radke is 1659489458. The last update date is 2007-07-08.
Tracy L Radke's current location address is 3402 Howland Ave, Weston, Wisconsin. You can contact this provider via phone number 7153555701. The mailing address for Tracy L Radke is 3402 Howland Ave, Weston, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy L Radke |
|---|---|
| Address | 3402 Howland Ave, Weston, Wisconsin |
| Phone Number | 7153555701 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1659489458 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3402 Howland Ave |
|---|---|
| City | Weston |
| State | Wisconsin (WI) |
| Post Code | 544765633 |
| Phone Number | 7153555701 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 1340 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40832900 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tracy L Radke?
The Tracy L Radke has been issued the NPI (National Provider Identifier) 1659489458 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Tracy L Radke is located?
The Tracy L Radke is situated at the following address: 3402 Howland Ave, Weston, WI, 544765633.
What is Tracy L Radke's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tracy L Radke is Occupational Therapist, and the taxonomy classification code that categorizes this area of expertise is 225X00000X.
On what date did Tracy L Radke receive its 1659489458 assignment from the Centers for Medicare & Medicaid Services?
The Tracy L Radke was assigned its 1659489458 on 2006-08-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tracy L Radke most recently updated?
The details pertaining to the Tracy L Radke, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.