MEDICARE: YA-LING HANSEN PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	9175729-2401	UT
2	225100000X	Physical Therapist	1285778	TX

General Provider Information

NPI Number	:	1770023699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YA-LING HANSEN PT, DPT

Provider Business Mailing Address
First Line	:	2762 PARKER OAK PASS
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-1868
Country	:	US
Telephone Number	:	801-888-6191
Fax Number	:

Provider Business Practice Location Address
First Line	:	7400 FANNIN ST STE 1145
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1936
Country	:	US
Telephone Number	:	713-799-6193
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2017
Last Update Date	:	09/22/2023

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