Individual
HALEY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
527 W 400 N STE 6, OREM, UT 84057-1951
(801) 714-3366
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12484262-2401
UT
Other
Enumeration date
04/09/2024
Last updated
09/12/2024
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