OT Assistant Salary

Spokane vs Tukwila: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Spokane, WA and Tukwila, WA. All figures are 2026 estimates projected from BLS 2025 data.

Spokane, WA
$72,553
$34.88/hr
Tukwila, WA
$73,791
$35.48/hr

Side-by-Side Comparison

MetricSpokane, WATukwila, WA
Median Salary$72,553$73,791
Hourly Rate$34.88$35.48
Entry Level (P10)$59,877$57,237
25th Percentile$63,701$63,694
75th Percentile$82,803$78,362
Top Earner (P90)$85,836$85,673
Total Employed1104
Side-by-side bar chart comparing Spokane ($72,553) and Tukwila ($73,791) occupational therapy assistant salaries.SpokaneTukwilaMedian Salary$72,553$73,791Entry Level (P10)$59,877$57,237Top Earner (P90)$85,836$85,673US Median $74,332

Verdict

Spokane and Tukwila are closely matched on overall occupational therapy assistant compensation, each winning on different metrics.

The salary gap between Spokane and Tukwila is $1,238 (1.71%). Tukwila's median is -0.73% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Spokane spans $25,959,Tukwila spans $28,436. Tukwila has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Spokane
P10 (Entry)$59,877
P25$63,701
Median$72,553
P75$82,803
P90 (Top)$85,836
Tukwila
P10 (Entry)$57,237
P25$63,694
Median$73,791
P75$78,362
P90 (Top)$85,673

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Spokane ($72,303 effective) pays 5.23% more than Tukwila ($68,707 effective).

Spokane
Nominal: $72,553
CoL Index: 100.346
Adjusted: $72,303
Tukwila
Nominal: $73,791
CoL Index: 107.4
Adjusted: $68,707

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Spokane if…

  • Better top-earner potential ($85,836)
  • Larger job market (110 employed)
  • Better purchasing power (CoL-adjusted: $72,303)
  • You prefer the Washington area and lifestyle

Choose Tukwila if…

  • Higher median salary ($73,791/year)
  • You prefer the Washington area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Spokane grew 17.5% from 2019 to 2025, compared to 0.4% growth in Tukwila over the same period.

Spokane, WA

+17.5%

$60,070 (2019) → $70,570 (2025)

Tukwila, WA

+0.4%

$71,476 (2024) → $71,774 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Spokane or Tukwila?

Tukwila has a higher median occupational therapy assistant salary at $73,791/year, compared to Spokane at $72,553/year — a difference of $1,238 (1.71%).

What is the hourly rate difference between Spokane and Tukwila?

Spokane occupational therapy assistants earn $34.88/hr while Tukwila hygienists earn $35.48/hr (2026 est.).

Should I relocate from Spokane to Tukwila as a occupational therapy assistant?

Consider more than just salary when comparing Spokane and Tukwila. Factor in cost of living (CoL-adjusted: Spokane = $72,303, Tukwila = $68,707), job availability (110 vs 4 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Spokane vs Tukwila?

Entry-level (10th percentile) occupational therapy assistants earn $59,877 in Spokane and $57,237 in Tukwila. The Spokane area offers higher starting salaries.
JL

Written by Jordan Lee, MS, OTR/L

Career Analyst

Jordan Lee has 10 years of experience as an occupational therapist. Their specialty is working with children with developmental disorders. They have worked in various healthcare settings including schools and rehabilitation facilities.

Clinically reviewed by Maria Gonzalez, COTA/LData verified by Samuel Chen, OTR/L

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.81% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Jordan Lee, MS, OTR/L, a licensed occupational therapy assistant with 10+ years of clinical experience. · View source data at BLS.gov