Provider Demographics
NPI:1043015761
Name:RECKER, TRACIE (OTR/L)
Entity type:Individual
Prefix:
First Name:TRACIE
Middle Name:
Last Name:RECKER
Suffix:
Gender:
Credentials:OTR/L
Other - Prefix:
Other - First Name:TRACIE
Other - Middle Name:
Other - Last Name:KUHLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:527 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:OH
Mailing Address - Zip Code:45875-1907
Mailing Address - Country:US
Mailing Address - Phone:419-796-0703
Mailing Address - Fax:
Practice Address - Street 1:527 E 3RD ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:OH
Practice Address - Zip Code:45875-1907
Practice Address - Country:US
Practice Address - Phone:419-796-0703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4066225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics