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Individual

KIRK ALAN HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2615 COLONIAL DR, HELENA, MT 59601-4910
(406) 443-5555
(406) 443-5544
Mailing address
2615 COLONIAL DR, HELENA, MT 59601-4910
(406) 443-5555
(406) 443-5544

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
235PT
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03001377
STATE FUND
MT
05
340314
MT
01
61665
BCBS OF MT
MT
Enumeration date
08/18/2006
Last updated
06/03/2009
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