Tracey L Airth Edblom (NPI# 1053571307, PAC ID# 7517017601) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1053571307 |
| PAC ID by PECOS | 7517017601 |
| Professional Enrollment ID | I20090611000278 |
| Full Name | Tracey L Airth Edblom |
| Address |
224 A Weller St Petaluma CA 94952-3410 |
| Phone Number | 7077627678 |
| Gender | F |
| Graduation Year | 1988 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 9931292869 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 224 A Weller St, Petaluma, CA 94952-3410 | 7077627678 |
| Street Address |
224 A WELLER ST |
| City | PETALUMA |
| State | CA |
| Zip | 94952-3410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell Kauk | Physical Therapy | 224 A Weller St, Petaluma, CA 94952-3410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Dean Donaldson | Chiropractic | 709 Petaluma Blvd N B, Petaluma, CA 94952-2106 | |
| Ronald Eugene Hammer | Chiropractic | 709 Petaluma Blvd N, Petaluma, CA 94952-2106 | |
| Don M Griffith | Podiatry | 709 Petaluma Blvd N, Petaluma, CA 94952-2106 | |
| Bradley K Osgood | Chiropractic | 135 Keller St, Suite A, Petaluma, CA 94952-2312 | |
| Dennis C Casad | Chiropractic | 401 Washington St, Suite C, Petaluma, CA 94952-2346 | |
| Judy Iwanier | Clinical Social Worker | 5 Keller St, Suite 2, Petaluma, CA 94952-2349 | |
| Kathryn A Oconnor | Chiropractic | 5 Keller St, Suite C, Petaluma, CA 94952-2350 | |
| Mark Reynolds Swanson | Chiropractic | 801 Western Ave, Petaluma, CA 94952-2547 | |
| Cindy George | Chiropractic | 801 Western Ave, Petaluma, CA 94952-2547 | |
| Steven A Battaglino | Chiropractic | 620 Petaluma Blvd N, Suite B, Petaluma, CA 94952-2870 | |
| Find all physicians in zip 94952 | |||
| City | PETALUMA |
| Zip Code | 94952 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | PETALUMA + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Tracey L Airth Edblom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.