Michael J Hanson, RPT

NPI #1891042321 in Nashville, Illinois

Provider Information

NPI Number: 1891042321
Entity Type: Individual
Name: Michael J Hanson, RPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: RPT
Enumeration Date: Aug 15, 2012
Last Updated: Aug 15, 2012

Practice Location

Address: 485 S FRIENDSHIP DR
City: Nashville
State: Illinois
ZIP Code: 62263-1363
Phone: (618) 327-3041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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