| Doctor Name: | MRS. KELLEE LYNN HANIGAN |
| NPI Number: | 1104056837 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 2966 |
| Business Practice Address: | 615 N. Nash Street Suite 306 El Segundo, CA - 90245 |
| Business Phone Number: | 3105350008 |
| Business Fax Number: | 3105350009 |
| Mailing Address: | 615 N. Nash Street, Suite 306 EL SEGUNDO |
| State: | CA |
| Postal Code: | 90245 |
| Phone Number: | 3105350008 |
| Fax Number: | 3105350009 |
| NPI Enumeration Date: | 07/15/2009 |
| NPI Last Update Date: | 07/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2966 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |