Jake Edwin Hansen Valid NPI

Individual provider · Athletic Trainer · Smithfield, UT

NPI

1730940818

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

2000055293

Sex

Male

Sole proprietor

No

Enumerated

2024-01-17

Last updated

2025-01-08