Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Span Occupational Therapy LLC

Organization Occupational Therapist · NPI 1770164964

Life Span Occupational Therapy LLC is an Occupational Therapist in Lacey, Washington. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1240 Ruddell Rd SE
Lacey, WA 98503-5747
Phone: (425) 395-6006
Fax: (360) 918-8274
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1770164964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Watson — Owner · (425) 395-6006
NPI enumeratedApril 19, 2021
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021
Mailing addressPo Box 4314, Spanaway, WA 98387-4020

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