Search › Michigan › 224Z00000X
Lisa Shimp, COTA/L
NPI 1154896827 · on the registry since 2018 · sole proprietor
Practice
- Address
- 111 Lakeside Dr Ne
Grand Rapids, MI 49503 - Phone
- (616) 588-1645
- Organisation at this address
- Marywood Health Corporation
Porter Hills Presbyterian Village, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 3600 Fulton St E, Grand Rapids, MI
- 280 W 40th St, Holland, MI
- 1551 Franklin St Se, Grand Rapids, MI
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan