Individual
DAVID HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6112 S 1550 E STE 203, SOUTH OGDEN, UT 84405-5010
(801) 897-8711
(385) 333-7202
Mailing address
6112 S 1550 E STE 203, SOUTH OGDEN, UT 84405-5010
(801) 897-8711
(385) 333-7202
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10975491-4810
UT
Other
Enumeration date
07/13/2020
Last updated
07/28/2020
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