Individual
TRACI NICOLE BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2323 CONCRETE RD, CARLISLE, KY 40311-9721
(859) 289-3492
Mailing address
4993 KY HIGHWAY 596 # A, GERMANTOWN, KY 41044-9026
(606) 301-1064
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
272271
KY
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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