Mrs Shannon Marie Heitmiller, OTR - Occupational Therapist in Lafayette, IN

Mrs Shannon Marie Heitmiller, OTR is a Occupational Therapist - Hand based in Lafayette, Indiana. Mrs Shannon Marie Heitmiller is licensed to practice in Indiana (license number 30012351A) and her current practice location is 1260 N 17th St, Lafayette, Indiana. She can be reached at her office (for appointments etc.) via phone at (765) 423-6885.

NPI number for Mrs Shannon Marie Heitmiller is 1033646807 and her current mailing address is 1260 N 17th St, Lafayette, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033646807.

Contact Information

Mrs Shannon Marie Heitmiller, OTR
1260 N 17th St,
Lafayette, IN 47904-2163
(765) 423-6885
(765) 423-6099

Map and Direction




Healthcare Provider's Profile

Full NameMrs Shannon Marie Heitmiller
GenderFemale
SpecialityOccupational Therapist - Hand
Location1260 N 17th St, Lafayette, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033646807
  • Provider Enumeration Date: 05/11/2017
  • Last Update Date: 05/11/2017

Medical Identifiers

Medical identifiers for Mrs Shannon Marie Heitmiller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033646807NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XH1200XOccupational Therapist - Hand 30012351A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shannon Marie Heitmiller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Shannon Marie Heitmiller, OTR
1260 N 17th St,
Lafayette, IN 47904-2163

Ph: (765) 423-6885
Mrs Shannon Marie Heitmiller, OTR
1260 N 17th St,
Lafayette, IN 47904-2163

Ph: (765) 423-6885

Reviews and Comments


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