Individual
KIMBERLY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
701 HELENA AVE, HELENA, MT 59601-3645
(406) 442-4325
Mailing address
PO BOX 1902, HELENA, MT 59624-1902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21703
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21703
STATE LICENSE
MT
Enumeration date
07/30/2021
Last updated
07/30/2021
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