Provider Demographics
NPI:1184817819
Name:HATFIELD, LYNN ALLISON (OTR/CHT)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:ALLISON
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:OTR/CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8127 CARDINAL LN
Mailing Address - Street 2:
Mailing Address - City:WACONIA
Mailing Address - State:MN
Mailing Address - Zip Code:55387-9709
Mailing Address - Country:US
Mailing Address - Phone:952-442-2995
Mailing Address - Fax:
Practice Address - Street 1:6515 BARRIE RD STE 100
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2305
Practice Address - Country:US
Practice Address - Phone:952-922-5019
Practice Address - Fax:952-922-1384
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN103502225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand