Provider Demographics
NPI:1386456754
Name:MASINGALE, HANNAH MAURINE (OTS)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MAURINE
Last Name:MASINGALE
Suffix:
Gender:F
Credentials:OTS
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:MAURINE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3933 S HIGHWAY 309
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:AR
Mailing Address - Zip Code:72949-2493
Mailing Address - Country:US
Mailing Address - Phone:479-849-0898
Mailing Address - Fax:
Practice Address - Street 1:7006 CHAD COLLEY BLVD
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72916-6024
Practice Address - Country:US
Practice Address - Phone:479-401-6013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program