Provider Demographics
NPI:1538497615
Name:STEIMLOSK, HEATHER MHAIRI (OTS, MSW)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:MHAIRI
Last Name:STEIMLOSK
Suffix:
Gender:F
Credentials:OTS, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 ELK CREEK DR
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83404-8237
Mailing Address - Country:US
Mailing Address - Phone:208-535-1286
Mailing Address - Fax:
Practice Address - Street 1:3000 PANCHERI DR UNIT 3
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83402-5095
Practice Address - Country:US
Practice Address - Phone:208-523-5602
Practice Address - Fax:208-275-0787
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW 351301041C0700X
IDOT-2561225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical