NPI 1194340430

Kevin Hansen

Practitioner Athletic Trainer Jackson, TN

Practice location

Address: 1378 Union University Dr, Jackson, TN 38305-3780
Phone: (731) 664-7060
Fax: (731) 664-5005
Mailing address: 1804 Highway 45 Byp STE 604, Jackson, TN 38305-4403

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1479 (TN)

Other Specialist/Technologist providers in Tennessee →

Registry record

NPI: 1194340430
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2020
Record last updated: 12 Jun 2020

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.