| Doctor Name: | THOMAS HAROLD HANSEN |
| NPI Number: | 1407063340 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT00006617 |
| Business Practice Address: | 24216 Witte Rd Se Maple Valley, WA - 980386827 |
| Business Phone Number: | 4254133583 |
| Business Fax Number: | |
| Mailing Address: | 14022 Se 158th St, RENTON |
| State: | WA |
| Postal Code: | 980587812 |
| Phone Number: | 4252771394 |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2007 |
| NPI Last Update Date: | 01/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PT00006617 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |