Provider Demographics
NPI:1114419918
Name:HANSON, ABBY SUE (DC)
Entity Type:Individual
Prefix:DR
First Name:ABBY
Middle Name:SUE
Last Name:HANSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3109 W 6TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3106
Mailing Address - Country:US
Mailing Address - Phone:785-505-1005
Mailing Address - Fax:785-505-8002
Practice Address - Street 1:3109 W 6TH ST STE A
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-3106
Practice Address - Country:US
Practice Address - Phone:785-505-1005
Practice Address - Fax:785-505-8002
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05907111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor