Individual
MR. BRIAN EDWARD HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
1100 E MICHIGAN AVE, GRAYLING, MI 49738-1312
(989) 248-0314
Mailing address
10912 E HOUGHTON LAKE DR, HOUGHTON LAKE, MI 48629-8623
(616) 443-6326
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015342
MI
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/10/2006
Last updated
11/05/2018
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