Individual
MR. SETH ROBERT HANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
101 FORT AVE, KEYSER, WV 26726-2600
(304) 788-6880
(304) 788-6871
Mailing address
96 LONGVIEW LN, OAKLAND, MD 21550-6929
(301) 387-2691
(304) 788-6871
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/31/2005
Last updated
07/08/2007
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