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Michael Hanlon, LPTA — NPI 1376798090, Saint Louis, MO | NPI Central

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NPI 1376798090

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Michael Hanlon, LPTA

NPI 1376798090 · Contractor · Saint Louis, MO

Provider details

NPI number: 1376798090
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Credential: LPTA
Sex: Male
Sole proprietor: No
License: 160.002570 (IL)

Specialties & taxonomies

ContractorPrimary171W00000XLicense 160.002570 (IL)
Other Service Providers
Contractor171W00000XLicense 120019 (MO)
Other Service Providers

Practice location

7733 Forsyth Blvd

Saint Louis, MO 63105-1817

Phone: (800) 677-1238

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

28 Melwood Dr

Belleville, IL 62223-2905

Registry dates

Enumerated: 2008-11-21
Last updated: 2008-11-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.