NPI 1104414754

Miles Douglas Hansen, ATC

Practitioner Athletic Trainer Poughkeepsie, NY

Practice location

Address: 10 Daley Rd, Poughkeepsie, NY 12603-3225
Phone: (845) 546-2286

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 002176 (NY)

Other Specialist/Technologist providers in New York →

Registry record

NPI: 1104414754
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jan 2021
Record last updated: 8 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.