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Contact Information

JESSICA HANSEN, LAT, ATC, LMT, NCTMB
1401 25TH ST S
GREAT FALLS, MT59405-5183
 Phone: 406-731-8989
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JESSICA HANSEN · (Female)

NPI # 1184048993
Status Active
Credentials LAT, ATC, LMT, NCTMB
Entity Individual
Enumeration date 02/13/2014
Last updated 02/13/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # ATR-LAT-LIC-139
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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