Provider Demographics
NPI:1740616127
Name:MEHRING, ,LINDA (LMT,CLT)
Entity type:Individual
Prefix:
First Name:,LINDA
Middle Name:
Last Name:MEHRING
Suffix:
Gender:F
Credentials:LMT,CLT
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:KRUGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT,CLT
Mailing Address - Street 1:1091 SWATARA RD
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-9523
Mailing Address - Country:US
Mailing Address - Phone:717-439-7851
Mailing Address - Fax:
Practice Address - Street 1:1091 SWATARA RD
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-9523
Practice Address - Country:US
Practice Address - Phone:717-439-7851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG003610225700000X
FLMA81543225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist