Individual
MRS. COURTNEY L HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
545 E MAIN ST STE B, LANDER, WY 82520-3470
(307) 335-3471
(307) 332-5388
Mailing address
545 E MAIN ST STE B, LANDER, WY 82520-3470
(307) 335-3471
(307) 332-5388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT847
WY
2251N0400X
Neurology Physical Therapist
PT847
WY
2251S0007X
Sports Physical Therapist
PT847
WY
2251X0800X
Orthopedic Physical Therapist
Primary
PT847
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114469300
—
WY
01
—
307984
BLUE CROSS BLUE SHIELD
WY
01
—
650017698
RAILROAD MEDICARE
WY
Enumeration date
07/24/2006
Last updated
04/07/2025
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