Healthcare Provider Details

I. General information

NPI: 1225433998
Provider Name (Legal Business Name): TAMI GEISLER MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2014
Last Update Date: 10/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3993 CHERRY AVE NE
KEIZER OR
97303-4861
US

IV. Provider business mailing address

2788 UPPER BRECKENRIDGE LOOP NW
SALEM OR
97304-3426
US

V. Phone/Fax

Practice location:
  • Phone: 503-926-4299
  • Fax: 503-926-9322
Mailing address:
  • Phone: 503-580-7629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number1010867
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: