Provider Demographics
NPI:1881780963
Name:LASSINGER, KELLY M (RT)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:M
Last Name:LASSINGER
Suffix:
Gender:F
Credentials:RT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 OLD MILL ROAD
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:PA
Mailing Address - Zip Code:16229
Mailing Address - Country:US
Mailing Address - Phone:724-295-5529
Mailing Address - Fax:
Practice Address - Street 1:VA PGH HEALTH CARE SYSTEM
Practice Address - Street 2:UNIVERSITY DRIVE C, 118-R-A
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240
Practice Address - Country:US
Practice Address - Phone:412-688-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist