Individual
DYLAN HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1717 S RANGE LINE RD, JOPLIN, MO 64804-3234
(417) 556-8760
Mailing address
225 S HARRISON ST, JASPER, MO 64755-8299
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2020033420
MO
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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