MRS. Jessica Hansen, LAT, ATC, LMT, NCTMB

NPI #1184048993 in Great Falls, Montana

Provider Information

NPI Number: 1184048993
Entity Type: Individual
Name: MRS. Jessica Hansen, LAT, ATC, LMT, NCTMB
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LAT, ATC, LMT, NCTMB
Enumeration Date: Feb 13, 2014
Last Updated: Feb 13, 2014

Practice Location

Address: 1401 25TH ST S
City: Great Falls
State: Montana
ZIP Code: 59405-5183
Phone: (406) 731-8989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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