Provider Demographics
NPI:1477034957
Name:SCHIMEK, TERESA LYNN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:LYNN
Last Name:SCHIMEK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18216 470TH AVE
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MN
Mailing Address - Zip Code:56025-7319
Mailing Address - Country:US
Mailing Address - Phone:507-525-3868
Mailing Address - Fax:507-787-2555
Practice Address - Street 1:102 E NORTH ST
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:MN
Practice Address - Zip Code:56048-9793
Practice Address - Country:US
Practice Address - Phone:507-231-5113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN101308225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist