Individual
MATTHEW DAVID HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
5650 S GREEN ST, MURRAY, UT 84123-5796
(801) 743-1402
Mailing address
5650 S GREEN ST, MURRAY, UT 84123-5796
(801) 743-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
366390-2401
UT
225100000X
Physical Therapist
4273
NM
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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