Provider Demographics
NPI:1518716026
Name:HANSEN, ROBBI
Entity type:Individual
Prefix:
First Name:ROBBI
Middle Name:
Last Name:HANSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1645 240TH ST
Mailing Address - Street 2:
Mailing Address - City:SCHALLER
Mailing Address - State:IA
Mailing Address - Zip Code:51053-7568
Mailing Address - Country:US
Mailing Address - Phone:712-660-7916
Mailing Address - Fax:
Practice Address - Street 1:ASI BELTONE
Practice Address - Street 2:602 FLINDT DR
Practice Address - City:STORM LAKE
Practice Address - State:IA
Practice Address - Zip Code:50588
Practice Address - Country:US
Practice Address - Phone:712-732-7858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA110760237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist