Individual
KATIE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 N CAPITAL AVE STE 1, IDAHO FALLS, ID 83402-3405
(208) 552-0855
Mailing address
855 N CAPITAL AVE STE 1, IDAHO FALLS, ID 83402-3405
(208) 552-0855
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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