Individual
LISA MARIE SHIMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
111 LAKESIDE DR NE, GRAND RAPIDS, MI 49503-3811
(616) 588-1645
Mailing address
9262 160TH AVE, WEST OLIVE, MI 49460-9193
(616) 990-0970
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007926
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235310
—
MI
05
—
235378
—
MI
05
—
235401
—
MI
05
—
235667
—
MI
Enumeration date
10/09/2018
Last updated
10/09/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us