Provider Demographics
NPI:1619690690
Name:HANKS, HANNAH ANN (DPT)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ANN
Last Name:HANKS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16211 N BRINSON ST STE 220
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-5525
Mailing Address - Country:US
Mailing Address - Phone:208-936-2522
Mailing Address - Fax:208-936-2523
Practice Address - Street 1:16211 N BRINSON ST STE 220
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-5525
Practice Address - Country:US
Practice Address - Phone:208-936-2522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPT-8191225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist