Individual
ERIK HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC, CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2605
SD
2255A2300X
Athletic Trainer
0483
SD
Other
Enumeration date
10/18/2016
Last updated
04/21/2023
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