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NPI Code Detail

MEDICARE: JESSICA SUE TRAUTSCHOLD OT

MEDICARE:   JESSICA SUE TRAUTSCHOLD  OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XH1200XHand Occupational Therapist3962TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083719777
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA SUE TRAUTSCHOLD OT
Provider Business Mailing Address
First Line : PO BOX 306556
Second Line :
City : NASHVILLE
State : TN
Zip : 37230-6556
Country : US
Telephone Number : 865-243-8183
Fax Number :
Provider Business Practice Location Address
First Line : 8 CITY BLVD STE 100
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-2558
Country : US
Telephone Number : 615-263-0155
Fax Number : 615-263-0171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 10/13/2023

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Directions to “ JESSICA SUE TRAUTSCHOLD OT” Practice Location

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