Provider Demographics
NPI:1609496876
Name:TVEDT, HANS (DPT)
Entity Type:Individual
Prefix:
First Name:HANS
Middle Name:
Last Name:TVEDT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21313 458TH AVE
Mailing Address - Street 2:
Mailing Address - City:VOLGA
Mailing Address - State:SD
Mailing Address - Zip Code:57071-6215
Mailing Address - Country:US
Mailing Address - Phone:605-691-2509
Mailing Address - Fax:
Practice Address - Street 1:7726 CENTER BLVD SE STE 220
Practice Address - Street 2:
Practice Address - City:SNOQUALMIE
Practice Address - State:WA
Practice Address - Zip Code:98065-8753
Practice Address - Country:US
Practice Address - Phone:425-396-7778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-17
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD2163225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist