Chad Jerome Hanson, MSPT ATC

NPI #1467517011 in Watertown, South Dakota

Provider Information

NPI Number: 1467517011
Entity Type: Individual
Name: Chad Jerome Hanson, MSPT ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MSPT ATC
Enumeration Date: Dec 26, 2006
Last Updated: Mar 6, 2024

Practice Location

Address: 401 9TH AVE NW
City: Watertown
State: South Dakota
ZIP Code: 57201-1548
Phone: (605) 882-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapist	225100000X	Primary

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