Individual
MAREN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC-L
Contact information
Practice address
875 SUMMER TREE DR, WEST BOUNTIFUL, UT 84087-1955
(801) 296-1139
Mailing address
875 SUMMER TREE DR, WEST BOUNTIFUL, UT 84087-1955
(801) 296-1139
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1385197-4810
UT
Other
Enumeration date
10/20/2006
Last updated
01/02/2009
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