Individual
CHAD JEROME HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT ATC
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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