Individual
TERI JO HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NBCHWC, CMES
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
M.S.
VA
171400000X
Health & Wellness Coach
A3198092
—
174H00000X
Health Educator
M.S.
VA
224Y00000X
Clinical Exercise Physiologist
M.S.
VA
225700000X
Massage Therapist
Primary
5484605-4701
UT
Other
Enumeration date
07/07/2012
Last updated
03/12/2023
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