Provider Demographics
NPI:1598478604
Name:KNUTSON, HANNAH (PT)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:KNUTSON
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 1:6633 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-3605
Mailing Address - Country:US
Mailing Address - Phone:612-562-8204
Mailing Address - Fax:763-328-0111
Practice Address - Street 1:9809 39TH AVE STE 2
Practice Address - Street 2:
Practice Address - City:PLEASANT PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53158-3733
Practice Address - Country:US
Practice Address - Phone:262-925-5080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-04
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN12232225100000X
WI17416-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty