Individual
TANNER HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 S MEDICAL DR STE A, MT PLEASANT, UT 84647-2200
(435) 274-3533
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
(435) 274-3532
(435) 274-3513
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
UT
Other
Enumeration date
04/09/2024
Last updated
05/31/2024
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