Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATHER LYNN BANNISTER, PTA
ActiveHEATHER LYNN BANNISTER, PTA is a Occupational Therapist healthcare provider located in SHAWANO, Wisconsin. NPI 1578042297 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SHAWANO, WI
Registration Details
- NPI Number
- 1578042297
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2018 (7.9597607920215 yrs)
- Last Updated
- Aug 13, 2018
- License
-
2836-19 (WI)
Practice Information
- Address
-
1436 S LINCOLN STSHAWANO, WI, 541663427Browse WI providers · Browse ZIP 54166
- Phone
- 7155266111
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in SHAWANO, WI
| Name | Credential | NPI |
|---|---|---|
| HEIDI LEE THOMPSON | P.T.A. | 1982690137 |
| JENNIFER HERM | P.T.A. | 1487640496 |
| MRS. KELLY LYNN BERNA | PTA | 1750377511 |
| MRS. CORRINA JOLINDA TUMA | PTA | 1174783245 |
| MRS. TINA MARIE READY | PTA | 1790949022 |
| MR. ROBERT JOSEPH BOHR JR. | — | 1902054315 |
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.