Heidi Beekman

Individual provider Active NPI Occupational Therapy Assistant · Bloomer, WI

NPI 1497232292 · NPPES record last updated Jul 24, 2018

Key facts

NPI
1497232292
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
5518 (WI)
Practice address
1731 17TH Ave
Bloomer, WI 54724-1512
Phone
(715) 568-4669
NPI assigned
Jul 24, 2018
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

State licenses

LicenseStateTypeSpecialty
5518WIMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5518 WI Yes

Addresses

Primary practice location

1731 17TH Ave
Bloomer, WI 54724-1512

Mailing address

4637 Southridge CT Apt 3
Eau Claire, WI 54701-7295

Other providers in Bloomer, WI

All providers in Bloomer, WI · Occupational Therapy Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.