IndividualActive
Lynelle Hagedorn
NPI 1619378957 · Occupational Therapy Assistant · White, SD
Provider details
- NPI number
- 1619378957
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 279A (SD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
20440 476th Ave
White, SD 57276-5914
Phone: (605) 629-8841
Approximate (ZIP-level) locationGet directions
Mailing address
20440 476th Ave
White, SD 57276-5914
Registry dates
- Enumerated
- 2014-09-05
- Last updated
- 2014-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.