Provider Demographics
NPI:1184420499
Name:HINZMAN, KARLEE RAE
Entity type:Individual
Prefix:
First Name:KARLEE
Middle Name:RAE
Last Name:HINZMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6611 E TERRITORIAL RD
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:MI
Mailing Address - Zip Code:49232-9750
Mailing Address - Country:US
Mailing Address - Phone:316-559-6518
Mailing Address - Fax:
Practice Address - Street 1:176 S CHARLES ST
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221
Practice Address - Country:US
Practice Address - Phone:316-559-6518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer