Provider Demographics
NPI:1255527511
Name:SCHIRMER, CATHI ANN (OTR)
Entity type:Individual
Prefix:MRS
First Name:CATHI
Middle Name:ANN
Last Name:SCHIRMER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20069 520TH AVE
Mailing Address - Street 2:
Mailing Address - City:MINNESOTA LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:56068-6812
Mailing Address - Country:US
Mailing Address - Phone:507-553-6645
Mailing Address - Fax:
Practice Address - Street 1:20069 520TH AVE
Practice Address - Street 2:
Practice Address - City:MINNESOTA LAKE
Practice Address - State:MN
Practice Address - Zip Code:56068-6812
Practice Address - Country:US
Practice Address - Phone:507-553-6645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN100906225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN18G23SCOtherBC/BS