Provider Demographics
NPI:1730635251
Name:SIMMELINK, HEATHER M (OTR/L)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:SIMMELINK
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 1:835 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-5319
Mailing Address - Country:US
Mailing Address - Phone:616-915-1980
Mailing Address - Fax:
Practice Address - Street 1:835 W 5TH ST
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-5319
Practice Address - Country:US
Practice Address - Phone:616-915-1980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO225X00000X
IL056.009301225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist