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Contact Information

DOROTHY J HANNA, ATC, LMT
10939 QUEBEC AVE N
CHAMPLIN, MN55316-3261
 Phone: 320-420-3723
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
 

Massage Therapist

225700000X
 

Sports Medicine

2083S0010X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for DOROTHY J HANNA · (Female)

NPI # 1902310154
Status Active
Credentials ATC, LMT
Entity Individual
Enumeration date 11/27/2017
Last updated 11/27/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 1839
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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