Individual
RIANN ELIZABETH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LMT
Contact information
Practice address
521 LEROY ST, AUDUBON, IA 50025-1206
(712) 563-4244
Mailing address
308 N FAIRVIEW ST, EXIRA, IA 50076-1535
(712) 268-2320
(712) 563-2045
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00233
IA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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