Search › Missouri › 225X00000X
Tiarra Waller, OTR/L
NPI 1295472884 · on the registry since 2022
Practice
- Address
- 21964 Highway 32
Ste Genevieve, MO 63670 - Phone
- (573) 883-9366
- Fax
- (573) 883-9377
- Clinicians at this address
- 4
Additional practice sites
- 490 Highway 61, Bloomsdale, MO
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri