Ethan Jared Hansen, D.P.T. Valid NPI

Individual provider · Physical Therapist · Williams, AZ

NPI

1518198860

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

8581 (AZ)

Sex

Male

Sole proprietor

Yes

Enumerated

2009-08-04

Last updated

2021-03-24