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Contact Information

CHASE K HANSEN, DPT
1121 E BRICKYARD RD APT 1803
SALT LAKE CITY, UT84106-2531
 Phone: 801-309-0848
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for CHASE K HANSEN · (Male)

NPI Number 1053887067
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 10/17/2018
Last updated 10/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 10787299-2401
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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