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NPI Code Detail

MEDICARE: HEATHER M SIMMELINK OTR/L

MEDICARE:   HEATHER M SIMMELINK  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistCO
2225X00000XOccupational Therapist056.009301IL

General Provider Information

NPI Number : 1730635251
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER M SIMMELINK OTR/L
Provider Business Mailing Address
First Line : 835 W 5TH ST
Second Line :
City : LOVELAND
State : CO
Zip : 80537-5319
Country : US
Telephone Number : 616-915-1980
Fax Number :
Provider Business Practice Location Address
First Line : 835 W 5TH ST
Second Line :
City : LOVELAND
State : CO
Zip : 80537-5319
Country : US
Telephone Number : 616-915-1980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2016
Last Update Date : 07/07/2020

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Directions to “ HEATHER M SIMMELINK OTR/L” Practice Location

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