Individual
MRS. JESSICA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC, LMT, NCTMB
Contact information
Practice address
1401 25TH ST S, GREAT FALLS, MT 59405-5183
(406) 731-8989
Mailing address
4237 3RD AVE N, GREAT FALLS, MT 59405-1422
(406) 529-2979
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ATR-LAT-LIC-139
MT
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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