Provider Demographics
NPI:1942682638
Name:HEPPERLE, CARI
Entity Type:Individual
Prefix:
First Name:CARI
Middle Name:
Last Name:HEPPERLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2445 WOODMANS HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:OTHO
Mailing Address - State:IA
Mailing Address - Zip Code:50569-7511
Mailing Address - Country:US
Mailing Address - Phone:515-227-0308
Mailing Address - Fax:
Practice Address - Street 1:2445 WOODMANS HOLLOW RD
Practice Address - Street 2:
Practice Address - City:OTHO
Practice Address - State:IA
Practice Address - Zip Code:50569-7511
Practice Address - Country:US
Practice Address - Phone:515-227-0308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01488225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist