Individual provider · Type 1 NPI

Grace Genevieve Tisdale, OTR/L

Occupational Therapist · Germantown, TN

NPI number 1174355614 Active

Practice location

2100 Exeter Rd Ste 200
Germantown, TN 38138-3966

Call (901) 522-6440 Map

Fax (901) 757-2507

Other practice locations

  • 1355 Lynnfield Rd Ste 187, Memphis, TN 38119-5883 · (901) 761-4263

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X4170 (MS)
Occupational Therapist Primary 225X00000X8100 (TN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

29 other providers at this address

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About NPI 1174355614

Grace Genevieve Tisdale, OTR/L's National Provider Identifier is 1174355614, issued on Aug 14, 2024. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Germantown, TN. The record was last updated on Jul 8, 2026.