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

Mrs. Taylor Smith Tidwell, OTR

Individual provider Occupational Therapist · NPI 1457992539

Mrs. Taylor Smith Tidwell, OTR is an Occupational Therapist in Eureka, California. Licensed in Alabama, California and Kansas. Registered with an NPI since 2019.

Licensed in
AL, CA, KS
In the registry since
2019
Specialties on file
3
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

2885 Harris St
Eureka, CA 95503-4808
Phone: (707) 443-1627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 20197 (CA)
Occupational Therapist Taxonomy 225X00000X · Licence 4892 (AL)
Occupational Therapist Taxonomy 225X00000X · Licence 17-03531 (KS)

Record details

NPI number1457992539
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedOctober 1, 2019
Last updated in NPPESOctober 1, 2019

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