Individual
CHAD JEROME HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT ATC
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7000
Mailing address
PO BOX 1210, WATERTOWN, SD 57201-6210
(605) 882-7000
(605) 882-7819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1039
SD
2255A2300X
Athletic Trainer
0046
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039
DAKOTA CARE
SD
01
—
103978
HEALTH PARTNERS
—
01
—
20522
SIOUX VALLEY HEALTH PLAN
SD
01
—
2438329
AMERICAS PPO
—
01
—
4995112
WELLMARK BCBS OF SD
SD
05
—
5834710
—
SD
01
—
6405469
UNITED HEALTH CARE MEDICA
—
01
—
93659HA
WELLMARK BCBS OF MN
MN
01
—
F246683
MIDLANDS CHOICE
—
Enumeration date
12/26/2006
Last updated
03/06/2024
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