Amy Lee Hanline
Individual provider Active NPI Rehabilitation Practitioner · Grand Ledge, MI
NPI 1962813485 · NPPES record last updated May 19, 2014
Key facts
- NPI
- 1962813485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 855 W Jefferson St Lot 84
Grand Ledge, MI 48837-1380 - Phone
- (616) 755-3306
- NPI assigned
- May 19, 2014
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
855 W Jefferson St Lot 84
Grand Ledge, MI 48837-1380
Mailing address
855 W Jefferson St Lot 84
Grand Ledge, MI 48837-1380
Phone (616) 755-3306
Other providers in Grand Ledge, MI
- Katherine McGarvey Gute
- Julie Ann Haan
- Nolan Hagen
- Kristin L Hamilton
- Steven Dale Hampton
- Marnie Hansen
- David James Harkema
- Kaylee Harmon
- Hedberg Homecare Services, Inc.
- Brenda Emily Heenan
All providers in Grand Ledge, MI · Rehabilitation Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2014. 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.