Organization
HANSON EASTSIDE PHYSICAL THERAPY, INC
Active
Other names
Hanson Eastside Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD J HANSON MSPT ATC (OWNER PHYSICAL THERAPIST)
(605) 371-4410
Entity
Organization
Contact information
Practice address
1914 S SYCAMORE AVE, SUITE 108, SIOUX FALLS, SD 57110-4219
(605) 371-4410
(605) 371-4416
Mailing address
1914 S SYCAMORE AVE, SUITE 108, SIOUX FALLS, SD 57110-4219
(605) 371-4410
(605) 371-4416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1039
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039
DAKOTA CARE
SD
01
—
103978
HEALTH PARTNERS
SD
01
—
20522
SIOUX VALLEY HEALTH PLAN
SD
01
—
2438329
AMERICAS PPO
SD
01
—
4995112
WELLMARK BCBS SD
SD
05
—
5834710
—
SD
01
—
6405469
UNITED HEALTH CARE MEDICA
SD
01
—
93658HA
WELLMARK BCBS MN
MN
01
—
F246683
MIDLANDS CHOICE
SD
Enumeration date
01/21/2007
Last updated
08/22/2020
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