Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tracy Rae Johanneck-Utphall, COTA

Individual provider Occupational Therapy Assistant · NPI 1730416769

Mrs. Tracy Rae Johanneck-Utphall, COTA is an Occupational Therapy Assistant in Racine, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.

Licensed in
WI
In the registry since
2009
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

3248 Shortridge Dr
Racine, WI 53402-1367
Phone: (414) 550-6670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 1193-27 (WI)

Record details

NPI number1730416769
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedNovember 12, 2009
Last updated in NPPESNovember 12, 2009

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