Individual
HAROLD HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1101 DEKALB AVE, SUITE 1, SYCAMORE, IL 60178-3305
(815) 895-3200
(815) 991-9121
Mailing address
1101 DEKALB AVE, SUITE 1, SYCAMORE, IL 60178-3305
(815) 895-3200
(815) 991-9121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.005757
IL
Other
Enumeration date
07/17/2014
Last updated
07/18/2014
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