Healthcare Provider Details

I. General information

NPI: 1497926570
Provider Name (Legal Business Name): SARAH TOVE HANSEN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2008
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 CEDAR ST
NORWALK IA
50211-9736
US

IV. Provider business mailing address

850 LAUREL PARKWAY DR
BROKEN BOW NE
68822
US

V. Phone/Fax

Practice location:
  • Phone: 877-407-3422
  • Fax:
Mailing address:
  • Phone: 308-767-2300
  • Fax: 308-767-2080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1271
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License NumberPT3261
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: