Individual
DR. CHASE K HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1121 E BRICKYARD RD APT 1803, SALT LAKE CITY, UT 84106-2531
(801) 309-0848
Mailing address
1121 E BRICKYARD RD APT 1803, SALT LAKE CITY, UT 84106-2531
(801) 309-0848
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
10787299-2401
UT
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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