Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lynelle Hagedorn

Individual provider Occupational Therapy Assistant · NPI 1619378957

Lynelle Hagedorn is an Occupational Therapy Assistant in White, South Dakota. Licensed in South Dakota. Registered with an NPI since 2014.

Licensed in
SD
In the registry since
2014

Practice location Address checks out

20440 476th Ave
White, SD 57276-5914
Phone: (605) 629-8841
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 279A (SD)

Record details

NPI number1619378957
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2014
Last updated in NPPESSeptember 5, 2014
Mailing address20440 476th Ave, White, SD 57276-5914