Individual
TRACEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
11840 COMMONWEALTH DR, LOUISVILLE, KY 40299-2309
(502) 633-1007
Mailing address
4806 RED DAWN DR, LOUISVILLE, KY 40216-1476
(502) 744-6827
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
267552
KY
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/05/2021
Last updated
06/23/2021
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