Provider Demographics
NPI:1497926570
Name:HANSEN, SARAH TOVE (PT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:TOVE
Last Name:HANSEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 LAUREL PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:BROKEN BOW
Mailing Address - State:NE
Mailing Address - Zip Code:68822
Mailing Address - Country:US
Mailing Address - Phone:308-767-2300
Mailing Address - Fax:308-767-2080
Practice Address - Street 1:850 LAUREL PARKWAY DR
Practice Address - Street 2:
Practice Address - City:BROKEN BOW
Practice Address - State:NE
Practice Address - Zip Code:68822
Practice Address - Country:US
Practice Address - Phone:308-767-2300
Practice Address - Fax:308-767-2080
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT3261172V00000X
NE1271225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No172V00000XOther Service ProvidersCommunity Health Worker