Smith, Traci Marie

Smith, Traci Marie is an individual health care provider with primary practice located at 3100 W Lakeway Rd Ste 1 , Gillette WY 82718-6373. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Smith, Traci Marie can be contacted via phone (307) 622-1242.

Contact Information

Primary practice address
3100 W Lakeway Rd Ste 1 Gillette WY 82718-6373
Phone: (307) 622-1242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1480 Wyoming
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 935 North Dakota

Profile Details

NPI number 1194912428
LBN Legal business name Smith, Traci Marie
Credentials MS, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2007
Last updated Mar 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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