Provider Demographics
NPI:1760733364
Name:TACOMA PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:TACOMA PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARGUS
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:253-571-4532
Mailing Address - Street 1:PO BOX 1357
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98401-1357
Mailing Address - Country:US
Mailing Address - Phone:253-571-1000
Mailing Address - Fax:
Practice Address - Street 1:1712 S 17TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-3233
Practice Address - Country:US
Practice Address - Phone:253-571-4532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00000431251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)