Provider Demographics
NPI:1184504169
Name:HANLIN, ALEXIS ARONEL
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:ARONEL
Last Name:HANLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:61432-0034
Mailing Address - Country:US
Mailing Address - Phone:309-712-2036
Mailing Address - Fax:
Practice Address - Street 1:1670 SPRINGDALE DR STE 10
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:SC
Practice Address - Zip Code:29020-5001
Practice Address - Country:US
Practice Address - Phone:803-272-0518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.029474225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist