Provider Demographics
NPI:1013573724
Name:SUILMANN, COURTNEY ANN (MED, MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ANN
Last Name:SUILMANN
Suffix:
Gender:
Credentials:MED, MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 PIONEER TRL STE 235
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-1167
Mailing Address - Country:US
Mailing Address - Phone:952-856-0844
Mailing Address - Fax:833-871-8066
Practice Address - Street 1:168 PIONEER TRL STE 235
Practice Address - Street 2:
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318-1167
Practice Address - Country:US
Practice Address - Phone:952-856-0844
Practice Address - Fax:833-871-8066
Is Sole Proprietor?:No
Enumeration Date:2019-05-17
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist