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NPI Code Detail

MEDICARE: RACHEL HANSON PTA

MEDICARE:   RACHEL  HANSON  PTA
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
1225200000XPhysical Therapy Assistant3041-19WI
2133N00000XNutritionistWI

General Provider Information

NPI Number : 1316877988
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL HANSON PTA
Provider Business Mailing Address
First Line : 3797 N SHORE DR
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54703-2264
Country : US
Telephone Number : 530-514-9761
Fax Number :
Provider Business Practice Location Address
First Line : 3797 N SHORE DR
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54703-2264
Country : US
Telephone Number : 530-514-9761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2026
Last Update Date : 05/22/2026

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Directions to “ RACHEL HANSON PTA” Practice Location

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