Doctor Name: | LAURA IMMING HANSON |
NPI Number: | 1104235142 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 074289 |
Business Practice Address: | 452 Se University Ave Waukee, IA - 502638121 |
Business Phone Number: | 5159870465 |
Business Fax Number: | |
Mailing Address: | 6110 Brett Ashley Pl, JOHNSTON |
State: | IA |
Postal Code: | 501312978 |
Phone Number: | 5072712040 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2014 |
NPI Last Update Date: | 09/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 074289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |