Harold Hansen, LMT

NPI #1760899181 in Sycamore, Illinois

Provider Information

NPI Number: 1760899181
Entity Type: Individual
Name: Harold Hansen, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 17, 2014
Last Updated: Jul 18, 2014

Practice Location

Address: 1101 DEKALB AVE
Address 2: SUITE 1
City: Sycamore
State: Illinois
ZIP Code: 60178-3305
Phone: (815) 895-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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