Provider Demographics
NPI:1972740538
Name:HANSEN, RICHARD THOMAS III (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:THOMAS
Last Name:HANSEN
Suffix:III
Gender:M
Credentials:DC
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Mailing Address - Street 1:3735 BIRCHWOOD DR
Mailing Address - Street 2:#26
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-1422
Mailing Address - Country:US
Mailing Address - Phone:303-829-1040
Mailing Address - Fax:303-443-2263
Practice Address - Street 1:3300 ARAPAHOE AVE
Practice Address - Street 2:SUITE 216
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1061
Practice Address - Country:US
Practice Address - Phone:303-443-3918
Practice Address - Fax:303-443-2263
Is Sole Proprietor?:No
Enumeration Date:2009-01-19
Last Update Date:2010-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO6322111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor