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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SHANNON MARIE HEITMILLER, OTR

Active Sole Proprietor

MRS. SHANNON MARIE HEITMILLER, OTR is a Hand Occupational Therapist healthcare provider located in LAFAYETTE, Indiana. NPI 1033646807 is currently active in the NPPES registry. Verify at CMS.

Hand Occupational Therapist · LAFAYETTE, IN

Registration Details

NPI Number
1033646807
Provider Type
Individual
Gender
Female
NPI Issued
May 11, 2017 (9.2889640561091 yrs)
Last Updated
May 11, 2017
License
30012351A (IN)
Sole Proprietor
Yes

Practice Information

Address
1260 N 17TH ST
LAFAYETTE, IN, 479042163
Browse IN providers · Browse ZIP 47904
Phone
7654236885
Fax
7654236099
Primary Specialty
Hand Occupational Therapist
225XH1200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.