Search › Wisconsin › 224Z00000X
Tracy Johanneck-Utphall, COTA
NPI 1730416769 · on the registry since 2009
Practice
- Address
- 3248 Shortridge Dr
Racine, WI 53402 - Phone
- (414) 550-6670
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin