Individual
TYLER J HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2871 280TH ST, HORNICK, IA 51026-8006
(712) 389-6600
Mailing address
2871 280TH ST, HORNICK, IA 51026-8006
(712) 389-6600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
089097
IA
225200000X
Physical Therapy Assistant
Primary
CP026582A
VA
Other
Enumeration date
01/13/2022
Last updated
12/14/2023
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