Individual
DANIELLE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
181 W MEADOW DR, SUITE 800, VAIL, CO 81657-5242
(504) 251-4120
Mailing address
PO BOX 6385, AVON, CO 81620-6385
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001298
CO
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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