Provider Demographics
NPI:1881802908
Name:AHLEMEYER, R. HEATHER (OTR)
Entity type:Individual
Prefix:MRS
First Name:R. HEATHER
Middle Name:
Last Name:AHLEMEYER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MRS
Other - First Name:RUTH
Other - Middle Name:HEATHER
Other - Last Name:AHLEMEYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:4381 S STATE ROAD 135
Mailing Address - Street 2:
Mailing Address - City:VALLONIA
Mailing Address - State:IN
Mailing Address - Zip Code:47281-9716
Mailing Address - Country:US
Mailing Address - Phone:812-358-2117
Mailing Address - Fax:812-358-2117
Practice Address - Street 1:4381 S STATE ROAD 135
Practice Address - Street 2:
Practice Address - City:VALLONIA
Practice Address - State:IN
Practice Address - Zip Code:47281-9716
Practice Address - Country:US
Practice Address - Phone:812-358-2117
Practice Address - Fax:812-358-2117
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN3100224A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist