MISS Maddie Anne Hansen, ATC, LAT
NPI #1194264473 in Valley City, North Dakota
Provider Information
- NPI Number
- 1194264473
- Entity Type
- Individual
- Name
- MISS Maddie Anne Hansen, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Feb 19, 2017
- Last Updated
- Feb 19, 2017
Practice Location
- Address
- 101 COLLEGE ST SW
- City
- Valley City
- State
- North Dakota
- ZIP Code
- 58072-4024
- Phone
- (231) 838-3730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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