Provider Demographics
NPI:1467244111
Name:TACOMA OCCUPATIONAL THERAPY, PLLP
Entity type:Organization
Organization Name:TACOMA OCCUPATIONAL THERAPY, PLLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JILLIAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:KIRSCHKE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:303-229-0246
Mailing Address - Street 1:3800 BRIDGEPORT WAY STE A
Mailing Address - Street 2:#531
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21 N SALMON BCH
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98407-2215
Practice Address - Country:US
Practice Address - Phone:303-229-0246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty