Provider Demographics
NPI:1164166393
Name:KLINE, LENIE HERRERA (DPT)
Entity Type:Individual
Prefix:DR
First Name:LENIE
Middle Name:HERRERA
Last Name:KLINE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1641 GEORGETOWNE BLVD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-2030
Mailing Address - Country:US
Mailing Address - Phone:941-256-4705
Mailing Address - Fax:
Practice Address - Street 1:1641 GEORGETOWNE BLVD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-2030
Practice Address - Country:US
Practice Address - Phone:941-256-4705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10926225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist