Individual
JARED CRAIG HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
12114 S. HIGHWAY 71, GRANDVIEW, MO 64030
(816) 877-0561
Mailing address
1328A NE 39TH ST, KANSAS CITY, MO 64116-2093
(816) 569-6947
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2006022549
MO
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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