Lori Michelle Hadel, PTA
Individual provider Active NPI Physical Therapy Assistant · Gardner, KS
NPI 1770836611 · NPPES record last updated Oct 16, 2012
Key facts
- NPI
- 1770836611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 14-02077 (KS)
- Practice address
- 125 Kane St
Gardner, KS 66030-1370 - Phone
- (913) 999-9176
- NPI assigned
- Oct 16, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-02077 | KS | MD | Physical Therapy Assistant |
| 2009038028 | MO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-02077 | KS | Yes |
| Physical Therapy Assistant | 225200000X | 2009038028 | MO |
Addresses
Primary practice location
125 Kane St
Gardner, KS 66030-1370
Mailing address
125 Kane St
Gardner, KS 66030-1370
Phone (913) 999-9176
Other providers in Gardner, KS
- Gardner-Edgerton-Antioch Usd 231
- Brianna Nicole Gonzalez
- Sarah Griffith
- Mackenzie Rae Gross
- Andrew Robert Guenther
- Happy Kids Pediatrics, LLC
- Phillip Dwain Hause
- Jason Robert Haworth
- Donna Jean Hayes
- David A Hedman
All providers in Gardner, KS · Physical Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.