MEDICARE: DR. TRACEY LEIGH ZEINER OTD, OTR/L

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
1	225X00000X	Occupational Therapist	OTR526	AR

Other Identifiers

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

General Provider Information

NPI Number	:	1265708945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRACEY LEIGH ZEINER OTD, OTR/L

Provider Business Mailing Address
First Line	:	9818 MOUNT ZION RD
Second Line	:
City	:	HACKETT
State	:	AR
Zip	:	72937-4027
Country	:	US
Telephone Number	:	501-350-9358
Fax Number	:

Provider Business Practice Location Address
First Line	:	7006 CHAD COLLEY BLVD
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72916-6024
Country	:	US
Telephone Number	:	479-401-6043
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2012
Last Update Date	:	11/05/2024

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