IndividualActive
Tracy Shepherd
NPI 1225980246 · Gerontology Occupational Therapist · Lynn Center, IL
Provider details
- NPI number
- 1225980246
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 056003825 (IL)
Practice location
18 E Meadow Creek Ln
Lynn Center, IL 61262-9702
Phone: (309) 236-2401
Fax: (309) 236-2401
Mailing address
18 E Meadow Creek Ln
Lynn Center, IL 61262-9702
Registry dates
- Enumerated
- 2026-02-11
- Last updated
- 2026-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.