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NPI Code Detail

MEDICARE: HANNAH THORN DPT

MEDICARE:   HANNAH  THORN  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
1225100000XPhysical Therapist17522-24WI
2225100000XPhysical Therapist070027015IL

General Provider Information

NPI Number : 1730811639
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH THORN DPT
Provider Business Mailing Address
First Line : N15W28300 GOLF RD
Second Line :
City : PEWAUKEE
State : WI
Zip : 53072-4800
Country : US
Telephone Number : 262-303-5055
Fax Number : 262-303-5057
Provider Business Practice Location Address
First Line : N15W28300 GOLF RD
Second Line :
City : PEWAUKEE
State : WI
Zip : 53072-4800
Country : US
Telephone Number : 262-303-5055
Fax Number : 262-303-5057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2022
Last Update Date : 06/01/2026

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Directions to “ HANNAH THORN DPT” Practice Location

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