Individual
MR. RYAN C HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2006 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-4622
(605) 342-3110
(605) 342-3120
Mailing address
2006 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-4622
(605) 342-3110
(605) 342-3120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1415
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467613364
WELLMARK BCBS
SD
05
—
5836570
—
SD
Enumeration date
06/23/2008
Last updated
09/08/2008
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