Provider Demographics
NPI:1508147703
Name:SMITHEM, AIMEE (OTL)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:SMITHEM
Suffix:
Gender:F
Credentials:OTL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 PAR DR
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-1270
Mailing Address - Country:US
Mailing Address - Phone:231-420-1422
Mailing Address - Fax:
Practice Address - Street 1:321 PAR DR
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-1270
Practice Address - Country:US
Practice Address - Phone:231-420-1422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201006930225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist