Provider Demographics
NPI:1689483984
Name:GEHRING, HEATHER R (MSOTR)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:R
Last Name:GEHRING
Suffix:
Gender:F
Credentials:MSOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4622 HIGH VISTA DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-2532
Mailing Address - Country:US
Mailing Address - Phone:812-216-9101
Mailing Address - Fax:
Practice Address - Street 1:111 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-3621
Practice Address - Country:US
Practice Address - Phone:812-216-9101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31005037A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist