Individual
MISS MADDIE ANNE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
101 COLLEGE ST SW, VALLEY CITY, ND 58072-4024
(231) 838-3730
Mailing address
PO BOX 705, HARBOR SPRINGS, MI 49740-0705
(231) 838-3730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
677-15
ND
Other
Enumeration date
02/19/2017
Last updated
02/19/2017
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