Provider Demographics
NPI:1871776989
Name:HALIO, TERI LYNN (MSPT)
Entity type:Individual
Prefix:
First Name:TERI
Middle Name:LYNN
Last Name:HALIO
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 GRASSY LN
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-6800
Mailing Address - Country:US
Mailing Address - Phone:978-807-1042
Mailing Address - Fax:
Practice Address - Street 1:290 LITTLETON RD UNIT 3
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3429
Practice Address - Country:US
Practice Address - Phone:978-807-1042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16660225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist