Doctor Name: | KIRK WAYNE HANSEN |
NPI Number: | 1770818965 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 4739083-2401 |
Business Practice Address: | 3350 Airport Rd Ogden, UT - 844051563 |
Business Phone Number: | 8016259346 |
Business Fax Number: | 8016259335 |
Mailing Address: | 3350 Airport Rd, OGDEN |
State: | UT |
Postal Code: | 844051563 |
Phone Number: | 8016259346 |
Fax Number: | 8016259335 |
NPI Enumeration Date: | 10/06/2009 |
NPI Last Update Date: | 10/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4739083-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |