Individual
MICHAEL HANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
908 8TH AVE S, GREAT FALLS, MT 59405-2165
(406) 454-0438
(406) 727-8550
Mailing address
908 8TH AVE S, GREAT FALLS, MT 59405-2165
(406) 454-0438
(406) 727-8550
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1959
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1959
STATE LICENCE
MT
Enumeration date
04/08/2008
Last updated
04/08/2008
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