Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Alicia Tracy

Individual provider Occupational Therapy Assistant · NPI 1760269567

Jessica Alicia Tracy is an Occupational Therapy Assistant in Loudon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2023.

Licensed in
TN
In the registry since
2023

Practice location Address checks out

1520 Grove St
Loudon, TN 37774-1575
Phone: (865) 458-5436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 3076 (TN)

Record details

NPI number1760269567
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2023
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023

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