Provider Demographics
NPI:1215610472
Name:SEKERA, TIA (OTA)
Entity type:Individual
Prefix:
First Name:TIA
Middle Name:
Last Name:SEKERA
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:TIA
Other - Middle Name:
Other - Last Name:PIRKL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTA
Mailing Address - Street 1:6402 W 80TH DR
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-2002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17351 DRAKE ST
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80023-5205
Practice Address - Country:US
Practice Address - Phone:303-908-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO230224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant