Individual
HEATHER SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
80 PROFESSIONAL CT, LAFAYETTE, IN 47905-5152
(765) 448-1758
(765) 448-3898
Mailing address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 448-1758
(765) 448-3898
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003411A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006700600
—
IN
Enumeration date
11/30/2006
Last updated
05/25/2025
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