Provider Demographics
NPI:1306838347
Name:WHITMYER, MERAE L (OTA)
Entity Type:Individual
Prefix:
First Name:MERAE
Middle Name:L
Last Name:WHITMYER
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5047 DUNSHA RD
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-8483
Mailing Address - Country:US
Mailing Address - Phone:330-239-4491
Mailing Address - Fax:330-239-4490
Practice Address - Street 1:5047 DUNSHA RD
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-8483
Practice Address - Country:US
Practice Address - Phone:330-239-4491
Practice Address - Fax:330-239-4490
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03111224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant