Whalio Doctors

NPI 1184048993

Jessica Hansen, LATATCLMTNCTMB

Practitioner Specialist Great Falls, MT

Practice location

Address
1401 25th St S, Great Falls, MT 59405-5183
Phone
(406) 731-8989
Mailing address
4237 3rd Ave N, Great Falls, MT 59405-1422

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence ATR-LAT-LIC-139 (MT)

Registry record

NPI
1184048993
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Feb 2014
Record last updated
13 Feb 2014

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.