DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. ETHAN JARED HANSEN D.P.T.

MEDICARE: DR. ETHAN JARED HANSEN D.P.T.
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
1225100000XPhysical Therapist8581AZ

General Provider Information

NPI Number : 1518198860
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ETHAN JARED HANSEN D.P.T.
Provider Business Mailing Address
First Line : PO BOX 3630
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86003-3630
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 S 6TH ST
Second Line :
City : WILLIAMS
State : AZ
Zip : 86046-0110
Country : US
Telephone Number : 928-635-4441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2009
Last Update Date : 03/24/2021

Similar Medicare Providers

1639026313 — EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.
Practice Location Address:
300 S 6TH ST
WILLIAMS, AZ
86046-0110
Practice Phone: 520-670-3909
Practice Fax: 520-309-2560
1336179415 — MARIA ARGANOZA-PRIESS DO
Practice Location Address:
300 S 6TH ST
WILLIAMS, AZ
86046-0110
Practice Phone: 928-635-4441
Practice Fax:
1780694802 — DR. DANA SERENE GER M.D.
Practice Location Address:
300 S 6TH ST
WILLIAMS, AZ
86046-0110
Practice Phone: 949-270-2100
Practice Fax: 949-650-4458
1447313911 — DR. IMAC SORAYA REYNAGA HOLMES ED.D M.S. LPC LCADC
Practice Location Address:
300 S 6TH ST
WILLIAMS, AZ
86046-0110
Practice Phone: 928-635-4441
Practice Fax: 928-635-4403
1235347154 — DR. TYLER ARKLESS M.D.
Practice Location Address:
300 S 6TH ST
WILLIAMS, AZ
86046-0110
Practice Phone: 928-635-4441
Practice Fax:
1194042366 — DR. SARAH A. NOTTER M.D.
Practice Location Address:
300 S 6TH ST
WILLIAMS, AZ
86046-0110
Practice Phone: 928-635-4441
Practice Fax: 928-635-4403

Directions to “ DR. ETHAN JARED HANSEN D.P.T.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.