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Jennifer Hansen
NPI 1902037211 · on the registry since 2009 · sole proprietor
Practice
- Address
- 2065 W Riverstone Dr
Suite 203
Coeur D Alene, ID 83814 - Phone
- (208) 765-1075
- Organisation at this address
- Lake City Physical Therapy P A
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho