IndividualActive
Andrew Smith, OTR
NPI 1174959829 · Occupational Therapist · Herrin, IL
Provider details
- NPI number
- 1174959829
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Male
- Sole proprietor
- Yes
- License
- 056.010267 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
201 S 14th St
Herrin, IL 62948-3631
Phone: (618) 942-2171
Approximate (ZIP-level) locationGet directions
Mailing address
320 Cline Lane
Vienna, IL 62995
Registry dates
- Enumerated
- 2013-09-25
- Last updated
- 2013-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.