MRS. TRACIE RENEE GRAHAM O.T.
NPI 1265550875
Specialist in West Memphis, AR

Q: What is Tracie Graham's NPI number?

The NPI number for Tracie Graham is 1265550875. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Q: What is Tracie Graham's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Tracie Graham was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 26, 2007

413 W. TYLER COVE, WEST MEMPHIS, AR 72301(870) 733-1200(870) 732-3269 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Tracie Renee Graham O.t. NPPES

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

MRS. TRACIE RENEE GRAHAM O.T. (NPI 1265550875) is an individual specialist in West Memphis, Arkansas, licensed in Arkansas (OTR1280) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1265550875

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. TRACIE RENEE GRAHAMCredential: O.T.

Location Address413 W. TYLER COVEWest Memphis, AR 72301

Mailing Address4734 Bethay DrMemphis, TN 38125-5700 · (901) 494-3710 · Fax (870) 733-1200

Phone(870) 733-1200

Fax(870) 732-3269

Sole ProprietorYes

Enumeration DateMarch 26, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1265550875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AR · OTR1280

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

413 W. TYLER COVE, West Memphis, AR 72301

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Other Identifiers 1

Other5U518AR · Ar Bluecross Blueshield

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 Tracie Graham's NPI number?

The NPI number for Tracie Graham is 1265550875. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Tracie Graham located?

Tracie Graham practices at 413 W. Tyler Cove, West Memphis, AR 72301. The listed phone number is (870) 733-1200.

What is Tracie Graham's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tracie Graham was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.