Individual
SANDRA HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
111 HUNDERTMARK RD, SUITE 400, CHASKA, MN 55318-4551
(952) 556-2656
(952) 556-2657
Mailing address
111 HUNDERTMARK RD, SUITE 400, CHASKA, MN 55318-4551
(952) 556-2656
(952) 556-2657
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2242
MN
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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