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

Mrs. Tiarra Danielle Waller, OTR/L

Individual provider Occupational Therapist · NPI 1295472884

Mrs. Tiarra Danielle Waller, OTR/L is an Occupational Therapist in Ste Genevieve, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2022
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

See every abbreviation used in this directory →

Practice location Address checks out

21964 Highway 32
Ste Genevieve, MO 63670-9190
Phone: (573) 883-9366
Fax: (573) 883-9377
Show map & directions

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

Additional practice locations (1)

  • 490 Highway 61, Bloomsdale, MO 63627-9131 — (573) 483-5040

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2021006924 (MO)

Record details

NPI number1295472884
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMay 16, 2022
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022

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