Healthcare Provider Details

I. General information

NPI: 1508675703
Provider Name (Legal Business Name): TCPH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 TORBETT ST
RICHLAND WA
99354-2667
US

IV. Provider business mailing address

103 CULLUM AVE
RICHLAND WA
99352-4532
US

V. Phone/Fax

Practice location:
  • Phone: 509-969-9067
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JACKI GILPIN
Title or Position: OWNER
Credential:
Phone: 509-969-9067