Provider Demographics
NPI:1730246216
Name:GEIS, REBECCA ELIN (MS,OTR/L)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ELIN
Last Name:GEIS
Suffix:
Gender:F
Credentials:MS,OTR/L
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:ELIN- GEIS
Other - Last Name:TYLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,OTRL
Mailing Address - Street 1:1111 CORNWALL AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5039
Mailing Address - Country:US
Mailing Address - Phone:360-734-8396
Mailing Address - Fax:
Practice Address - Street 1:1111 CORNWALL AVE
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5039
Practice Address - Country:US
Practice Address - Phone:360-734-5121
Practice Address - Fax:855-224-7921
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1009417225XH1300X
WA61223113225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHuman Factors