Individual
KIRK WAYNE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3350 AIRPORT RD, OGDEN, UT 84405-1563
(801) 625-9346
(801) 625-9335
Mailing address
3350 AIRPORT RD, OGDEN, UT 84405-1563
(801) 625-9346
(801) 625-9335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4739083-2401
UT
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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