NPI 1205445343

Elijah Hansen

Practitioner Athletic Trainer Lawton, OK

Practice location

Address: 2800 W Gore Blvd, Lawton, OK 73505-6320
Phone: (580) 581-2402
Mailing address: 619 Greene Ave., Green Bay, WI 54301

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Oklahoma →

Registry record

NPI: 1205445343
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2020
Record last updated: 24 Jul 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.