Kyle Hansen

NPI #1306334362 in Stanwood, Michigan

Provider Information

NPI Number: 1306334362
Entity Type: Individual
Name: Kyle Hansen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Apr 25, 2018
Last Updated: Apr 25, 2018

Practice Location

Address: 18397 11 MILE RD
City: Stanwood
State: Michigan
ZIP Code: 49346-9557
Phone: (989) 309-0012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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