Provider Demographics
NPI:1326253204
Name:HANSEN, DON H (MPT)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:H
Last Name:HANSEN
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11760 S 700 E
Mailing Address - Street 2:STE 211
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-6605
Mailing Address - Country:US
Mailing Address - Phone:801-432-2200
Mailing Address - Fax:801-432-2202
Practice Address - Street 1:11760 S 700 E
Practice Address - Street 2:STE 211
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-6605
Practice Address - Country:US
Practice Address - Phone:801-432-2200
Practice Address - Fax:801-432-2202
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-13
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT121969-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist