Individual
MR. JEREMY SCOTT HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T.
Contact information
Practice address
2045 BROADWATER AVE, SUITE 3, BILLINGS, MT 59102-4863
(406) 656-0950
(406) 656-0970
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
34755
CA
225100000X
Physical Therapist
9700
CO
225100000X
Physical Therapist
Primary
PTP-PT-LIC-7940
MT
Other
Enumeration date
08/01/2007
Last updated
08/17/2015
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