Individual
CHERYL LYNN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2615 COLONIAL DRIVE, HELENA, MT 59601
(406) 443-5555
(406) 443-5544
Mailing address
2615 COLONIAL DRIVE, HELENA, MT 59601
(406) 443-5555
(406) 443-5544
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
162PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03001526
STATE FUND
MT
05
—
340405
—
MT
01
—
61655
BCBS OF MT
MT
Enumeration date
08/18/2006
Last updated
07/08/2007
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