Individual
MR. TRAVIS L HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRS
Contact information
Practice address
56351 COUNTY ROAD 21, MAZEPPA, MN 55956-4175
(507) 226-1824
Mailing address
56351 COUNTY ROAD 21, MAZEPPA, MN 55956-4175
(507) 226-1824
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
MN
Other
Enumeration date
10/13/2025
Last updated
10/14/2025
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