Provider Demographics
NPI:1801457502
Name:HANKLE, LAUREN RENEE (ATC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:RENEE
Last Name:HANKLE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 RYLIE DR
Mailing Address - Street 2:
Mailing Address - City:HARMONY
Mailing Address - State:PA
Mailing Address - Zip Code:16037-7764
Mailing Address - Country:US
Mailing Address - Phone:717-341-9283
Mailing Address - Fax:
Practice Address - Street 1:121 CRANBERRY RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:PA
Practice Address - Zip Code:16127-4629
Practice Address - Country:US
Practice Address - Phone:724-458-9473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0065372255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer