Lene Oestlyngen Hall
Individual provider Active NPI Physical Therapist · Kalkaska, MI
NPI 1790285252 · NPPES record last updated Feb 20, 2018
Key facts
- NPI
- 1790285252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501007925 (MI)
- Practice address
- 419 S Coral St
Kalkaska, MI 49646-2503 - Phone
- (231) 587-9188
- Fax
- (231) 258-7615
- NPI assigned
- Feb 20, 2018
- 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 |
|---|---|---|---|
| 5501007925 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501007925 | MI | Yes |
Addresses
Primary practice location
419 S Coral St
Kalkaska, MI 49646-2503
Mailing address
419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 587-9188
Other providers in Kalkaska, MI
- Annette J Goodyear
- George Gray II
- Nancy Yvonne Grody
- Shawn Lee Grucella
- Sherry Deann Hall-Rosin
- Margaret Hartmann
- Kassandra Lee Hatfield
- Tedina Hatley
- Olivia Hayward
- Healing Roots Clinical Counseling
All providers in Kalkaska, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2018. 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.