Healthcare Provider Details

I. General information

NPI: 1730077900
Provider Name (Legal Business Name): HANNAH RENE MILLIGAN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7402 WESTSHIRE DR STE 105
LANSING MI
48917-8687
US

IV. Provider business mailing address

41265 JULIE CT
CLINTON TOWNSHIP MI
48038-2064
US

V. Phone/Fax

Practice location:
  • Phone: 517-853-6800
  • Fax:
Mailing address:
  • Phone: 586-980-4317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501303977
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: