NPI 1144520255

Lily C. van Halen, LMT

Practitioner Mechanotherapist Gainesville, FL

Practice location

Address: 1826 NW 10th St, Gainesville, FL 32609-3463
Phone: (310) 908-1173
Mailing address: PO Box 358303, Gainesville, FL 32635-8303

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA 60605 (FL)

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Registry record

NPI: 1144520255
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2010
Record last updated: 25 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.