Provider Demographics
NPI:1922246123
Name:SCHERER, TRACEY L (OT)
Entity Type:Individual
Prefix:
First Name:TRACEY
Middle Name:L
Last Name:SCHERER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:TRACEY
Other - Middle Name:L
Other - Last Name:ELLISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4201 BARNSLEY DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3131
Mailing Address - Country:US
Mailing Address - Phone:214-542-8603
Mailing Address - Fax:
Practice Address - Street 1:4201 BARNSLEY DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3131
Practice Address - Country:US
Practice Address - Phone:214-542-8603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103900225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist