Provider Demographics
NPI:1023093143
Name:REINEMANN, HEATHER NICOLE (OTR)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:NICOLE
Last Name:REINEMANN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:NICOLE
Other - Last Name:BLEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:2415 WEDEMEYER ST
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081
Mailing Address - Country:US
Mailing Address - Phone:920-973-5409
Mailing Address - Fax:
Practice Address - Street 1:2021 S ALVERNO RD
Practice Address - Street 2:MANITOWOC HEALTH & REHAB CENTER
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220-9208
Practice Address - Country:US
Practice Address - Phone:920-683-4592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH-009223225X00000X
WI3905225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist