Individual
DR. MICHAEL JAMES HANNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
2475 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-5946
(702) 463-3501
(702) 463-3601
Mailing address
515 4TH ST APT 303, HOBOKEN, NJ 07030-2897
(631) 624-3789
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
043149-1
NY
2251X0800X
Orthopedic Physical Therapist
043149-1
NY
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
07/01/2021
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