Provider Demographics
NPI:1891947388
Name:HINES, KARA LEIGH LETENDRE (MS, LAT, ATC)
Entity Type:Individual
Prefix:MS
First Name:KARA
Middle Name:LEIGH LETENDRE
Last Name:HINES
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:MS
Other - First Name:KARA
Other - Middle Name:L
Other - Last Name:LETENDRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LAT, ATC
Mailing Address - Street 1:503 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-2831
Mailing Address - Country:US
Mailing Address - Phone:508-954-6251
Mailing Address - Fax:
Practice Address - Street 1:300 GRANITE ST
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-3909
Practice Address - Country:US
Practice Address - Phone:781-848-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19242255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer