Laurie Hanna
Individual provider Active NPI Physical Therapist · Lockhart, TX
NPI 1891152971 · NPPES record last updated Jan 20, 2016
Key facts
- NPI
- 1891152971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1130656 (TX)
- Practice address
- 107 N Medina St
Lockhart, TX 78644-1919 - Phone
- (512) 398-5213
- NPI assigned
- Jan 20, 2016
- 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 |
|---|---|---|---|
| 1130656 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1130656 | TX | Yes |
Addresses
Primary practice location
107 N Medina St
Lockhart, TX 78644-1919
Mailing address
107 N Medina St
Lockhart, TX 78644-1919
Phone (512) 398-5213
Other providers in Lockhart, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2016. 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.