TRACEY L AIRTH-EDBLOM OTR/L, CHT
NPI 1053571307
Occupational Therapist - Hand in Petaluma, CA

Active since June 11, 2008
226 WELLER ST, PETALUMA, CA 94952(707) 762-7678(707) 762-7679 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracey L Airth-edblom Otr/l, Cht NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY L AIRTH-EDBLOM OTR/L, CHT (NPI 1053571307) is an individual hand provider in Petaluma, California, licensed in California (OT345) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1053571307
Entity TypeIndividualFemale
Primary Taxonomy225XH1200X
Provider Legal NameTRACEY L AIRTH-EDBLOMCredential: OTR/L, CHT
Location Address226 WELLER STPetaluma, CA 94952-3136
Mailing Address8 Pacific DrNovato, CA 94949-5479 · (415) 382-8202 · Fax (415) 382-8212
Fax(707) 762-7679
Sole ProprietorNo
Enumeration DateJune 11, 2008
NPI 1053571307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License Licensed in CA · OT345
226 WELLER ST, Petaluma, CA 94952

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
226 WELLER ST
PETALUMA, CA 94952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey Airth-edblom's NPI number?

The NPI number for Tracey Airth-edblom is 1053571307. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Tracey Airth-edblom located?

Tracey Airth-edblom practices at 226 Weller St, Petaluma, CA 94952. The listed phone number is (707) 762-7678.

What is Tracey Airth-edblom's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

When was this NPI record last updated?

The NPPES record for Tracey Airth-edblom was last updated on June 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.