Teresa Heifner
Individual provider Active NPI Occupational Therapy Assistant · Bloomer, WI
NPI 1487289385 · NPPES record last updated Mar 11, 2020
Key facts
- NPI
- 1487289385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 4817 (WI)
- Practice address
- 1731 17TH Ave
Bloomer, WI 54724-1512 - Phone
- (715) 568-4669
- NPI assigned
- Mar 11, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 4817 | WI | Yes |
Addresses
Primary practice location
1731 17TH Ave
Bloomer, WI 54724-1512
Mailing address
N2245 County Road H
Stanley, WI 54768-9681
Other providers in Bloomer, WI
- Lydia Gruben
- Lynn Hammond
- Marie Hansen
- Lindsay Erin Harmon
- Brent T Hassemer
- Herman Advanced Family Eyecare LLC
- Brian James Herman
- Karen Lee Herman
- Hetzel Care Center Inc
- Hetzel Care Center Inc
All providers in Bloomer, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.