Healthcare Provider Details

I. General information

NPI: 1417503640
Provider Name (Legal Business Name): HANNAH HAUGEN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HANNAH BARRETT

II. Dates (important events)

Enumeration Date: 08/13/2019
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1283 N 14TH AVE STE 101
BOZEMAN MT
59715-3270
US

IV. Provider business mailing address

1283 N 14TH AVE STE 101
BOZEMAN MT
59715-3270
US

V. Phone/Fax

Practice location:
  • Phone: 406-219-5388
  • Fax: 406-578-1443
Mailing address:
  • Phone: 406-219-5388
  • Fax: 406-574-1443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTP-PT-LIC-27007
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPTP-PT-LIC-27007
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: