Provider Demographics
NPI:1003318700
Name:HEURING, JULIE A (MOT OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:HEURING
Suffix:
Gender:F
Credentials:MOT OTR/L
Other - Prefix:MISS
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:LITZELFELNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT OTR/L
Mailing Address - Street 1:155 SIEMERS DR STE 8
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-4910
Mailing Address - Country:US
Mailing Address - Phone:573-334-6711
Mailing Address - Fax:573-334-6081
Practice Address - Street 1:155 SIEMERS DR STE 8
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701
Practice Address - Country:US
Practice Address - Phone:573-334-6711
Practice Address - Fax:573-334-6081
Is Sole Proprietor?:No
Enumeration Date:2018-03-08
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003020426225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist