# TRACY HAND & OCCUPATIONAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962593889
- **Authorized official:** MR. TIMOTHY MICHAEL TRACY OTR CHT (OWNER)
- **Authorized official phone:** (406) 752-7581

## Contact information

- **Practice address:** 111 SUNNYVIEW LANE, SUITE C, KALISPELL, MT 59901-3164
- **Practice address phone:** (406) 752-7581
- **Practice address fax:** (406) 752-7584
- **Mailing address:** 111 SUNNYVIEW LANE, SUITE C, KALISPELL, MT 59901-3164
- **Mailing address phone:** (406) 752-7581
- **Mailing address fax:** (406) 752-7584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 178 | MT | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 05/21/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1730394651 | DME | MT |
| 05 | — | 1962593889 | — | MT |