Mrs. Shannon Marie Heitmiller
Occupational Therapist - Hand
1260 N 17th St
Lafayette
, Indiana 47904-2163
Mrs. Shannon Marie Heitmiller
Occupational Therapist - Hand
1260 N 17th St
Lafayette
, Indiana 47904-2163
(765) 423-6099
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About
Features
Specialties
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Mrs. Shannon Marie Heitmiller
- 1260 N 17th St
- Lafayette, IN
- Zip : 47904-2163
- Fax : (765) 423-6099
- Phone : (765) 423-6885
Second Address
- Mrs. Shannon Marie Heitmiller
- 1260 N 17th St
- Lafayette, IN
- Zip : 47904-2163
- Fax : (765) 423-6099
- Phone : (765) 423-6885
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Is Mrs. Shannon Marie Heitmiller a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XH1200X | Occupational Therapist - Hand | 30012351A | IN |
National Provider Identifier
| NPI | 1033646807 |
|---|---|
| Provider Name | Mrs. Shannon Marie Heitmiller |
| First Address | Lafayette, IN 47904-2163 |
| Second Address | Lafayette, IN 47904-2163 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2017 |
| Last Update Date | 11/05/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.