Doctor Name: | MRS. HAVALO KAYE JO HANSON |
NPI Number: | 1043385800 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 1011047 |
Business Practice Address: | 3001 S Jackson St San Angelo, TX - 769045129 |
Business Phone Number: | 3252236391 |
Business Fax Number: | 3252236447 |
Mailing Address: | 4601 Hartford St, ABILENE |
State: | TX |
Postal Code: | 796054603 |
Phone Number: | 3257933400 |
Fax Number: | 3257933587 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1011047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |